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Worship in Jerusalem 2006 Conference & Tour
Please complete this entire form and return, together with your $500 per person tour deposit
International Church for All Nations, C/O Apostle Lyrica Smith.
Deposits can be paid by check or credit card. Be sure to write your name(s) exactly as on your passport, so that your airline ticket and all
documents will comply with security regulations.
You do not need to have your passport in order to reserve your place on this tour.
Please send us a clear, legible photocopy of the signature and photo page of your passport with this application. If you do not yet have a
passport or you need to renew, please send us this copy as soon as you receive your new passport.
If your passport will expire before July 31, 2006, you will have to renew it for this tour.
Please tell us about yourself.
Please tell us what services you wish to reserve.
Worship in Jerusalem 2006 Conference & Tour
Exactly As On Passport
In Twin @$2400 (includes tips & taxes)
Single Room Supplement $400
Prices shown reflect cash discount of 4% for payments by check only.
My room-mate’s name is ______________________________.
I would like to have a room-mate assigned to me.
I need pre-existing insurance coverage. Charge my
premium (@$99 per person) with my tour deposit.
Enclosed is $______________ as a deposit for (number)________
I/we have included $99 per person in inclosed deposit
check to cover group travel insurance premium.
Fax # (if available) Email address (if available)
Passport information is not yet available.
If passport information is available, please complete below, or enclose a
clear, legible photocopy of the signature and photo page of your pass-
Billing Address (if different from home address)
port together with this application.
I have read the “General Information” on the reverse, and I
understand and agree with all the terms and conditions as out-lined.
_________________________________________________Place of Issue (e.g. Nat’l Passport Ctr, Seattle, etc.)
__________________________________________________Date of Issue
Make Deposit Checks Payable & Mail to
The International Church for All Nations
c/o Apostle Lyrica Smith
PO Box 498851
Please write your tour number, FP 1015
on your check.
from Chicago and return via SWISS Airlines or other scheduled carriers. The airfare included in the tour
price is the lowest applicable fare at the time of printing, August 2005, and is subject to change without notice.
are in Superior First Class & Deluxe hotels, in twin-bedded rooms with private facilities. You will receive a
detailed list of all the accommodations on your tour, including addresses and telephone numbers, with your travel documents.
are buffet breakfast and dinner daily. During the conference in Jerusalem, meals are breakfast lunch and dinner daily.
Beverages are not included except coffee and tea with breakfast.
TRANSFERS & TOURING
are provided by modern, air-conditioned motor coaches. All entrance fees to places visited in the itiner-
ary are included.
is based on a group of 25 or more passengers and includes flights from Chicago, airport departure taxes, fuel sur-
charges and airport fees, accommodations in twin-bedded rooms, meals, personal tips and touring as indicated in our itinerary. Prices
do not include passports or items of a personal nature. Prices are based on air and land tariffs in effect at time of printing, August
2005, subject to change by our suppliers without notice.
of $500 per person is required when placing reservations. Final payment is due by 75 days prior to departure. For pay-
ment plan details, please see your confirmation packet.
of reservations must be made in writing. Refund in full will be made up to 125 days prior to departure, excluding
a $50 per person administrative fee and the insurance premium cost of $99. Cancellations within 95 days prior to departure are sub-
ject to the following charges:
Cancellation fees are charged by our suppliers and are out of our control. Therefore, in order to avoid costly cancel-
lation penalties should you have to cancel your tour prior to departure, we strongly recommend trip cancellation and interruption
insurance to cover losses. Coverage includes Trip Cancellation and Interruption up to a total cost of your tour (including pre-existing
condition waiver), medical expense coverage and baggage insurance. Certain exclusions and limitations apply. Complete terms will
be sent with your invoice and confirmation packet and are available on our website. If you wish to take advantage of pre-existing
condition coverage, please include the $99 per person premium in your tour deposit. Pre-existing coverage is available only when
insurance is purchased within 7 days of reserving your tour. Insurance premiums are non-refundable unless tour is cancelled by tour
As all tours are based on group travel, no refunds will be granted for missed sightseeing trips, meals, trans-
fers or hotel accommodations not used. No changes in hotels, deviations or extensions in the itinerary are allowed on this tour unless
arranged prior to departure from the U.S.A.
This tour is arranged by International Church of All Nations and Friendly Planet Travel Inc. All tickets and coupons
covering transportation or other services and facilities furnished are issued by International Church of All Nations and Friendly Planet
Travel Inc., only as agent for such other companies furnishing such services and facilities, and neither they nor their sub-agents shall
be held liable for loss or damage to property or injury to person caused by reason of any defect by any transportation company, agent,
or any such party providing such service. They reserve the right to withdraw services and make changes and alterations in the itin-
erary as may be necessary for the proper handling of the tour. The airlines concerned are not to be held responsible for any act,
omission or event during the times that passengers are not aboard the plane or conveyances. The passage contract in use by the
airlines concerned, when issued, shall constitute the sole contract between the airlines and the purchasers of this tour or passen-
gers. International Church of All Nations and Friendly Planet Travel Inc. reserve the right to change any hotel listed with one of a sim-
ilar category if circumstances necessitate.
P.O. Box 505 * 100 West Ave Suite W950 * Jenkintown, PA 19046-2642
Tel 800-555-5765 or 215-572-9594 * Fax 215-572-9803
email : firstname.lastname@example.org * website: www.friendlyplanet.com
Les principales complications de la MRC I.Les Troubles Minéraux Osseux de la Maladie Rénale Chronique (TMO-MRC) La chute du débit de filtration glomérulaire (DFG), qui caractérise la Maladie ayez ou pas une MRC varient selon l’âge de Rénale Chronique (MRC) s’accompagne d’une baisse de l’excrétion des 800 mg à 1 g chez l’adulte jeune à 1,5 g phosphates respons
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