Men's Mission to Israel

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* First Name

* Last Name

* Email

* Phone Number

* I am a member of BJC, and would like to attend the Men's Mission to Israel with Rabbi Gibber from February 11 - February 16.

Please Select OneYesNo

* This trip is limited to the first 30 men that register, how many men are you registering for?

* Are you going to be joining one of the group flights, or only joining the trip once in Israel?

Please Select OneTaking the Group FlightJoining Only Once In Israel

The cost for Single Occupancy is $4,800 per person & the cost for Double Occupancy is $4,000 per person. Both prices DO NOT include flights. Which option are you interested in booking?

Please Select OneSingle Occupancy - $4,800Double Occupancy Paying For Yourself - $4,000Double Occupancy Paying For Yourself & Someone Else - $8,000

If you will be joining the trip and do not need a hotel room, the cost will be $3,200 per person. How many seats on the bus would you like to reserve?

Will you be flying on Saturday night, February 10, at 11:30 pm or Sunday afternoon, February 11, at 1:00 pm? IMPORTANT - you are responsible to book your own flight, we are just gathering information to know which flight you will be on.

Please Select OneSaturday night, February 10, at 11:30 pmSunday afternoon, February 11, at 1:00 pm

* What is your passport number?

* What is your passport expiration date?

* What will your phone number be while in Israel?

* Do you have any medical restrictions that we need to be aware of?

What are your medical restrictions?

* Please provide the full name of your emergency contact and their phone number.

Total

Sun, September 21 2025 28 Elul 5785

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