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Number of Participants by Room Type

Select Room Type & Occupancy

Applicants Information

List names exactly as they Appear on passport If you currently do not have a copy of your passport please drop it off at the church office Att. Mmachi Odunnze ASAP!!

Applicant #1

Title *

First Name *

Middle Name

Last Name *

Date of Birth *

Gender *

Passport Number *

Issuing Country *

Expiry Date *

Email Address *

Phone Number *

Full Address *

City *

State / Province *

Postal / Zip Code *

Country *

Travel Insurance *

Travel insurance is highly recommended see adjacent premiums
You are not required to purchase travel insurance from Unique Exceptional Journeys.
Please secure a travel insurance policy that includes medical coverage!

I Require Land Tour Only (Check this if you do not require round-trip flights) - We will advise you by email of the Land Only tour costs

Applicant #2

Title *

First Name *

Middle Name

Last Name *

Date of Birth *

Gender *

Passport Number *

Issuing Country *

Expiry Date *

Same contact details as Applicant #1 (Primary Applicant)

Travel Insurance *

Travel insurance is highly recommended see adjacent premiums
You are not required to purchase travel insurance from Unique Exceptional Journeys.
Please secure a travel insurance policy that includes medical coverage!

I Require Land Tour Only (Check this if you do not require round-trip flights)
We will advise you by email of the Land Only tour costs

Applicant #3

Title *

First Name *

Middle Name

Last Name *

Date of Birth *

Gender *

Passport Number *

Issuing Country *

Expiry Date *

Same contact details as Applicant #1 (Primary Applicant)

Travel Insurance *

Travel insurance is highly recommended see adjacent premiums
You are not required to purchase travel insurance from Unique Exceptional Journeys.
Please secure a travel insurance policy that includes medical coverage!

I Require Land Tour Only (Check this if you do not require round-trip flights)
We will advise you by email of the Land Only tour costs

Emergency Contact Name *

Emergency Contact Phone *

Terms & Conditions

Loading Terms & Conditions...

I, the undersigned applicant, confirm that all passengers registering with me have been briefed on and accept the terms and conditions, and I agree to the accuracy of all information submitted (including ensuring all names match passports exactly).

I understand that typing my name below constitutes a legal digital signature.

Signature *

Signature Date & Time

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Payment

You have not yet completed your deposit payment. Only payment of the deposit secures your spot on the tour. How would you like to pay your Deposit? *

Note: Please follow the instructions in the next step to complete your payment.

Application

Number of Participants by Room Type

Applicants Information

Applicant #1

Applicant #2

Applicant #3

Terms & Conditions

Payment

Submission Successful!