Participant Name: ____________________________                              Program: ___________________________________

 

HOTEL REQUEST FORM

***THIS FORM IS ONLY FOR THOSE PARTICIPANTS THAT REQUIRE ACCOMMODATIONS THE NIGHT BEFORE DEPARTURE***

CONTACT INTERNATIONAL TRAVEL EXCHANGE TO MAKE THE HOTEL ARRANGEMENTS: (215) 332-2444 OR 1-800-752-6050

 

Passenger Name (as appears on passport):           __________________________________________

Parent(s) Name(s):                                           __________________________________________

Address:                                                           __________________________________________

City, State, Zip:                                                __________________________________________

Telephone (home and office):                            __________________________________________

Program Name (please do not refer by #):             __________________________________________

 

Please arrange a hotel for the above-named participant 1 night prior to departure for the night of:

_______________________, 2008.

 

The cost for the hotel is $135 per night, including tax and service charges.  This rate is per person based on a shared room rate.

 

Participant will be arriving according to the following details*:

Date: ________           Airline: __________________________         Flight #: __________  

Departure City: _________________________________      Departure time: __________

Arrival Airport: _________________________________      Arrival time: _____________

*Participants will be responsible for getting to the airport hotel. Oranim representatives will provide supervision and assistance at the hotel.

 

 

Please charge the hotel fee to my:     American Express,    Visa,    Master Card    (circle one)

Exp. date:                     _______________________  Charge the amount of: $________________

Credit card #:               _________________________________

Name on card: _________________________________

Billing Address: _________________________________      Please check here if

                                    _________________________________      same as above  (   )

Signature: _________________________________

 

**PAYMENT FOR HOTEL MUST BE RECEIVED BY MAY 30, 2008**

If you have any questions regarding your child’s flights please call:

INTERNATIONAL TRAVEL EXCHANGE

PHONE: (215) 332-2444 OR 1-800-752-6050

FAX: (215) 332-5360

 

COMPLETE THIS FORM AND SEND A COPY TO BOTH ORANIM AND INTERNATIONAL TRAVEL EXCHANGE