CAARI Program 2010 Canadian American Active Retirees in Israel

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CAARI Program 2010 Canadian American Active Retirees in Israel APPLICATION FORM PRINT NAMES AS THEY APPEAR ON YOUR PASSPORT It is required that your passport be valid for at least six (6) months from

1 CAARI Program 2010 Canadian American Active Retirees in Israel APPLICATION FORM PRINT NAMES AS THEY APPEAR ON YOUR PASSPORT It is required that your passport be valid for at least six (6) months from your return date. PARTICIPANT I First Middle Last Passport # Date Issued Expiration Date Place Issued Nationality Date of Birth / / Birthplace mo. day year Mailing Address City State Zip/Postal Code Phone (H) Phone (Cell) Fax E mail PARTICIPANT II First Middle Last Passport # Date Issued Expiration Date Place Issued Nationality Date of Birth / / Birthplace mo. day year City State Zip/Postal Code City State Zip Phone (H) Phone (Cell) Fax EMERGENCY CONTACT Name Relationship to participant Home Phone Cell Office E mail Mailing Address City State Zip/Postal Code 1

2 TRAVEL ARRANGEMENTS Please arrange my / our flight(s) to Israel Departure Date from USA or Canada Departure Date from Israel I / we wish to extend my / our stay in Israel. Please contact me to arrange flights and/or hotel reservations and other possible land arrangements. I / we will my / own flight arrangements. If you are making your own arrangements, please write your flight information below: Departure from USA or Canada: Date Airline Flight Number Arrival time (in Israel) Connecting flight (if applicable) Date Airline Flight Number Arrival time Departure from Israel Date Airline Flight Number Departure time (from Israel) Connecting flight (if applicable) Date Airline Flight Number Departure time (from Israel) ISRAEL AIRPORT TRANSPORTATION Transfer services from the airport to hotels & from hotels to airport upon arrival & departure are available for a fee. Please provide transfer services for me/us from Ben Gurion Airport to the hotel I will make my own arrangements. HOTEL: Single Room (additional charges apply) Double Room (please select and fill out one of the options provided below) I will room with If possible, please try to assign me a roommate (if one is not available, you must pay for a single room) Please note: 1. We will try to honor all roommate requests, but are unable to guarantee them. 2. There is a supplementary charge for single rooms. 3. One partner in double occupancy, wishing to move to a single occupancy room at any time during the program will be responsible for paying both single supplements. ISRAEL MEDICAL INSURANCE Insurance coverage begins at the time of arrival in Israel and ends at the time of departure from Israel. If you are extending your stay in Israel beyond the program, you may elect to extend your insurance coverage for an additional fee. Contact agent for more information. I would like to extend my insurance coverage for days (this includes departure date). I am arriving in Israel on (date) and departing on (date) 2

3 PROGRAM OPTIONS Check One Please select one program from the options provided. Please note that all prices are in US Dollars. Program & Highlights Land Single Costs Supplement Pomegranate Program 2 weeks Tel Aviv, Negev, Jerusalem weekend & Galilee Feb. 14 Mar. 1 Daily breakfasts, 2 lunches and 13 dinners 2 nights Tel Aviv, 2 nights Negev, 3 nights Jerusalem, 7 nights Galilee Touring Program, speaker forum, Shabbat & celebration dinners, & free time Grape Program 3 weeks Jerusalem & Tel Aviv Jan. 10 Feb. 1 (Departure between Jan. 31 & Feb. 1) Daily breakfasts, 11 lunches and 17 dinners 7 nights Jerusalem, 14 nights Tel Aviv Community service, afternoon & day tours, including Jerusalem tour, forest work speakers forum, Shabbat & special dinners, Tu B shvat Celebration & free time Wheat Program 4 weeks Tel Aviv Jan. 17 Feb. 16 (Departure between Feb ) Daily breakfasts, 18 lunches and 24 dinners 29 nights Tel Aviv special dinners, Tu B shvat Celebration & Shabbat & special dinners & free time Barley Program 4 weeks Tel Aviv, Negev, Jerusalem Weekend, & Galilee Jan. 31 Mar. 1 Daily breakfasts, 10 lunches and 24 dinners 16 nights Tel Aviv, 2 nights Negev, 3 nights Jerusalem, 7 nights Galilee Shabbat & special dinners, & free time Fig Program 5 weeks Jerusalem and Tel Aviv Jan. 10 Feb. 16 (Departure between Feb ) Daily breakfasts, 19 lunches and 30 dinners 7 nights Jerusalem, 29 nights Tel Aviv Tu B shvat celebration, Shabbat & special dinners, & free time $2, $ $3, $ $4, $1, $4, $1, $5, $1,

4 Tamar Program 6 weeks Tel Aviv, Negev, Jerusalem Weekend, Galilee Jan. 17 Mar. 1 Daily breakfasts, 19 lunches and 35 dinners 30 nights Tel Aviv, 2 nights Negev, 3 nights Jerusalem, 7 nights Galilee Tu B shvat celebration, Shabbat & special dinners, & free time Olive Program 7 weeks Jerusalem, Tel Aviv, Negev, Jerusalem Weekend, Galilee Jan. 10 Mar. 1 Daily breakfasts, 21 lunches and 41 dinners 7 nights Jerusalem, 30 nights Tel Aviv, 2 nights Negev, 3 nights Jerusalem, 7 nights Galilee Tu B shvat celebration, Shabbat & special dinners, & free time $6, $1, $7, $1, All programs begin with dinner the first night and close with dinner the last night of the program. *Please note: The program itinerary are subject to change* Costs include: Hotels at per person double occupancy rate, meals (as specified), gratuities, medical insurance, guiding, coach transportation, entry fees, and special events as noted. Arrival and departure transfers are not included in the fee. Early Bird Special Deposits for 4 7 week program options received on or before October 15, 2009 will allow each participant a $ USD discount against full payment of the trip. Deposits for 3 week program options received on or before October 15, 2009 will allow each participant a $50.00 USD discount against full payment of the trip. Esther Reiss Foundation Subvention Opportunity The Esther Reiss Foundation is offering a subvention through JNF USA for select CAARI participants who: Are American citizens Have never been to Israel Are in need of financial assistance. To apply, please fill out the Esther Reiss Foundation Application form and send it along with the regular CAARI Application. JNF USA will contact each applicant separately once a decision has been made. Please contact JNF USA directly with any questions at extension 254. Please note: There is no guarantee that an applicant will be a subvention recipient. 4

5 PAYMENT A DEPOSIT OF $US PER PERSON IS REQUIRED TO PROCESS APPLICATIONS Please reserve space(s) Enclosed please find a check for $ per person Please make checks payable to: JNF Travel and Tours. Please send check, completed application and a copy of each participant s passport to: JNF Travel and Tours 1511 Walnut Street Philadelphia, PA 19102, USA ATTN: Shirley Please charge my credit card. Please note: The program costs reflect a 3% savings for payment by check or money order. Thus, there is an additional 3% cost for payment by credit card. AMEX Visa MasterCard Discover Card Number Expiration Date Cardholder s name Billing Address City State Zip Credit Card authorization: I authorize JNF TRAVEL AND TOURS to charge the above credit card in the amount of $US for the transportation and/or related charges for the above named tour. I understand that the amount charged to my credit card account will be reflected on my credit card statement within three days of authorization. Signature All cancellations must be received in writing to: CANCELLATION POLICY JNF Travel &Tours 1511 Walnut Street, 2 nd floor Philadelphia, PA 19102, USA. Attn: SHIRLEY Up to 90 days prior to your departure you are entitled to a full refund of paid fees less a $ per person processing fee + any other cancellation fees levied by our land suppliers/airlines. From days you are entitled to a full refund less $ per person processing fee + any other cancellation fees levied by our land suppliers/airlines. From days, $ per person will be assessed plus any other cancellation fees levied by our land suppliers/airlines*. Cancellations received less than 30 days prior to departure are non refundable. There will be no refunds for unused services. It is recommended to purchase additional insurance to cover trip cancellation & interruption. This is a separate policy from the medical insurance included in the CAARI program. Please see enclosed information for detailed information. * All airline tickets issued in conjunction with this tour are subject to air penalties per individual carrier s rules and regulations which will be applied. I/We have read and understand the information on this application, the terms and conditions below, as well as the information provided in the What is the CAARI Program? packet. PARTICIPANT I: Signature Date PARTICIPANT II (if applicable): Signature Date 5

6 TERMS AND CONDITIONS DEPOSIT: A deposit of $500 per person is required to process application. FULL PAYMENT: Due upon confirmation of application and receipt of invoice. Full payment is due 6 weeks before departure. EARLY BIRD SPECIAL: Deposits for 4 7 week program options received on or before October 15, 2009 will allow each participant a $US discount against full payment of the trip. Deposits for 3 week program options received on or before October 15, 2009 will allow each participant a $US discount against full payment of the trip. NOTICE OF CANCELLATION MUST BE MADE IN WRITING AND SENT IN WRITING TO: JNF Travel and Tours ATTN: Shirley Shchory 1511 Walnut Street, 2 nd floor Philadelphia, PA USA Up to 90 days prior to your departure you are entitled to a full refund of paid fees less a $ per person processing fee + any other cancellation fees levied by our land suppliers/airlines. From days you are entitled to a full refund less $ per person processing fee + any other cancellation fees levied by our land suppliers/airlines. From days, $ per person will be assessed plus any other cancellation fees levied by our land suppliers/airlines.* Cancellations received less than 30 days prior to departure are non refundable. There will be no refunds for unused services. It is recommended to purchase additional insurance which would cover trip cancellation and interruption. This is a separate policy from the medical insurance that is included in the CAARI program. Please see enclosed information sheet. * All airline tickets issued in conjunction with this tour are subject to air penalties per individual carrier s rules and regulations, which will be applied. SECURITY: I affirm that my participation in the CAARI Program is voluntary and that I am aware of the risks related with traveling overseas (including to Israel), including risks associated with my safety and security. I agree to abide by the security directives issued by JNF Travel & Tours/ Gil Travel during the course of the Program. I understand that should I travel outside the parameters and/or location of the Program, I do so at my own risk and thus release JNF Travel & Tours/ Gil Travel of any obligation or responsibility for my safety and security. In addition, I hereby release JNF Travel & Tours/ Gil Travel and any of its trustees, offices, agents and employees from any claims, which accordingly arise during the course of the Program. MEDICAL CONDITIONS: All CAARI applicants must have a licensed physician complete the Medical Application Form and it must be signed by the applicant and the physician, including his medical license number and official stamp. JNF Travel & Tours/ Gil Travel reserves the right to reject any application based on grounds of health and ability to participate in the Program. The applicant s signature affirms that all the medical information provided is true and accurate. Should the participant require attention for any pre existing medical condition during the course of the program, the participant understands that any corresponding expenses for financial obligations incurred will be the participant s sole responsibility and not that of the JNF Travel & Tours/ Gil Travel. MEDICAL INSURANCE IS INCLUDED IN THE COST OF THE PROGRAM. The Policy DOES NOT COVER PRE EXISTING CONDITIONS. The Policy covers an accident or illness involving the insured which first occurred in Israel during the insurance period. (See summary of policy). It is recommended to purchase additional insurance that covers trip cancellation and interruption. Please see enclosed information sheet for detailed information. CODE OF CONDUCT: JNF Travel & Tours/ Gil Travel reserves the right to dismiss any participant should their behavior or medical condition conflict with the code of conduct required during the CAARI Program or interfere with the routine of the Program. PHOTOGRAPHY RELEASE: I hereby grant permission to JNF Travel & Tours/ Gil Travel/ Interactive Tours to use photographs for the promotions marketing, public education and fundraising and other related activities of JNF. LAND ARRANGEMENTS: Sightseeing is included as per itinerary provided. Package is based on double occupancy sharing a twin bedded room with private facilities including all taxes and service charges. Double rooms must be booked for two (2) persons. Single rooms are available at an additional cost. JNF Travel and Tours/ Gil Travel reserves the right to substitute hotels according to availability with adjustment where necessary. TRANSFERS: Passengers are responsible for their own arrival and departure transfers. 6

NOT INCLUDED: Meals not specified in itinerary, airport taxes, optional tours, charges for passports, visas, vaccinations and inoculations, laundry, liquor, excess baggage charges, accident and

TRIP INSURANCE: DIFFERENT FROM MEDICAL INSURANCE. Trip Insurance, which covers cancellation and trip interruption, is not included in this tour package, but is available upon request.

7 NOT INCLUDED: Meals not specified in itinerary, airport taxes, optional tours, charges for passports, visas, vaccinations and inoculations, laundry, liquor, excess baggage charges, accident and baggage insurance, telephone or cable charges, private non group transfer, items of a personal nature, and any items not specifically listed as included. TRIP INSURANCE: DIFFERENT FROM MEDICAL INSURANCE. Trip Insurance, which covers cancellation and trip interruption, is not included in this tour package, but is available upon request. Please contact JNF Travel & Tours/ Gil Travel for an application. INSURANCE IS STRONGLY RECOMMENDED. VISA for USA and Canada & HEALTH: A valid passport is required for all participants. There is no Visa requirement for citizens of the USA for travel to Israel. No inoculations are required at press time for travel to Israel, but please check with local public health authorities for up to date information. BAGGAGE: For those traveling on El Al Airlines each economy class passenger will be allowed to check in two pieces of luggage at the maximum weight of 50 pounds (23 Kg.) each. Every piece of luggage that exceeds 50 pounds (23 Kg.) up to 70.5 pounds (32 Kg.) will be charged a flat amount of $25 each way. The size of each piece of luggage is determined by the sum of the length, height and width, which should not exceed 62 inches (158 cm.). Over sizing these measurements will result in a charge of an extra piece. One piece of carry on luggage is allowed, the total combined dimensions not to exceed 45 inches. All excess baggage charges will be collected at the airport. Baggage is at own risk throughout the tour. PLEASE NOTE: due to continually changing airport regulations baggage rules are subject to change at any time. JNF Travel and Tours/ Gil Travel is not responsible for lost or damaged baggage. Baggage insurance is recommended. Passengers are expected to comply with all current and up dated baggage and carry on regulations. RESPONSIBILITY: JNF Travel and Tours/ Gil Travel is acting solely as an intermediary agent for the travel suppliers providing means of transportation, hotel and/or all other related travel services being purchased (the Third Party Providers ). JNF Travel and Tours/ Gil Travel therefore, shall not be liable or responsible for any injury, illness, loss or damage to any person or property or additional expense involved with travel resulting from acts of God, detention, annoyance, delays, quarantine, strikes, thefts, pilferage, force majeure, diseases, mechanical difficulties, failure of any means of transportation to arrive or depart as scheduled, civil disturbances, terrorism, government restrictions or regulations, and discrepancies or changes in transportation or hotel services or any other matter or event over which JNF Travel and Tours/ Gil Travel has no control; or (ii) for any state of quality, hygiene, political stability, cuisine, sanitation facilities, cleanliness, telecommunications facilities, methods of conducting business, emergency medical evacuation, treatment or medical services existing at any travel destination. By embarking upon his/her travel, the passenger voluntarily assumes all risks involved with such travel, whether expected or unexpected. The issuance and acceptance of any exchange orders or tickets shall constitute consent by the purchaser and/or passenger to the foregoing conditions. All exchange orders and tickets are also subject to such additional terms and conditions as the Third Party Providers may impose. Finally, JNF Travel and Tours/ Gil Travel shall not be liable for any funds received from the purchaser and/or passenger and paid over to any third Party Provider which subsequently becomes insolvent or files any bankruptcy or similar proceedings or fails to deliver services. SPECIAL NOTE: Delays, cancellations and overbooking by participating Third Party Providers may occur on air flights and land reservations. While JNF Travel and Tours/ Gil Travel will do its utmost to avoid these inconveniences, it shall not be liable or responsible for the acts or omissions of such Third Party Providers. JNF Travel and Tours/ Gil Travel reserves the right (i) to cancel any tour, substitute hotels and make such alterations in tour itineraries as may be necessary or desirable for the convenience of the parties and the proper carrying out of the tour(s); and (ii) to decline to accept or retain any person as a member of any tour. All additional cost, if necessary, shall be the passenger s responsibility. In addition, JNF Travel and Tours/ Gil Travel may cancel any tour prior to departure. In such a case, a full refund of all payments will constitute full settlement with the passenger and/or purchaser of the tour. All disputes arising under, in connection with, or incident to this agreement shall be litigated, if at all, in and before a court located in the City of Philadelphia, Pennsylvania, USA, and in the courts of no other city, state or country. Retention of tickets, reservations or bookings by the purchaser and/or passenger after issuance shall constitute consent to the above terms, as well as an agreement on his/her part to convey the contents hereto to his/her travel companions or group members Walnut Street, Philadelphia PA Fax: CALL TOLL FREE:

First Middle Last. Passport # Date Issued Expiration Date Place Issued. Nationality Date of Birth / / Birthplace Mo Day Year Mailing Address

First Middle Last. Passport # Date Issued Expiration Date Place Issued. Nationality Date of Birth / / Birthplace Mo Day Year Mailing Address CAARI Program 2018 APPLICATION INFORMATION REGISTRATION FORM PART 1 PRINT NAMES AS THEY APPEAR ON YOUR PASSPORT It is required that your passport be valid for at least six (6) months from your return date.