This tour price reflects special group rates.
Deposits received after December 4, 2009, will likely incur additional charges due to supplier contract terms.

To be assured of reservations, please complete and mail this registration form to
MTS TRAVEL, 124 E. Main St., 4th Fl., Ephrata, PA 17522, along with your deposit of $400 per person.

Please reserve space as follows on A Pilgrimage to the Holy Land
with Rev. Bill Miller and Rev. Dr. John Toms, March 13–22, 2010

Enclosed is my deposit check of $__________ ($400 per person.)
Please make check payable to MTS TRAVEL.

(Please Print - name(s) as they appear in passport)

Name 1: ___________________________________________  Nickname: ________________________

Name 2: ___________________________________________  Nickname: ________________________

Address ___________________________________________________

City, State, Zip ______________________________________________

Phone(evenings) _____________________(day) _____________________ Fax _____________________

E-Mail Address _____________________________________

Signature:  __________________________________________________________

Room Type:  Twin/Double Single

Rooming With:  __________________________________________________________

Group Insurance:

 I/we wish to be covered by travel protection insurance as follows: $190 per person (Please include this payment for travel insurance along with your deposit payment.) Insurance payments are not refundable.

 I DO NOT wish to be covered by travel insurance.

Signature:  __________________________________________________________

Credit Card Information:

Please Charge:   My Deposit of $__________ + $__________ Travel Insurance = $__________ Total Charge

 Visa  Mastercard  Discover American Express

Card #: ______________________________________ Exp. _______________________________

Signature:  __________________________________________________________

Please use this space if second person has a different address, or if more than two persons are traveling from the same address.

  _______________________________________________________________________________________________

  _______________________________________________________________________________________________

  I have read and understood the Tour Features and Conditions and agree to the terms therein.

Signature:  __________________________________________________________

HLM031310LCLW CST 2013363-40 www.mtstravel.com