Barkay Tours
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November 1, 2007
Questionary
Please fill in the requested information and click the Submit button at the bottom of the page.
1. Contact Information
Full name:
Required
Email address:
Required
Home address:
City, state, zip:
Home telephone:
Home fax:
2. Participant Information
Tell us a bit about yourself and/or your group:
Organization:
Religion:
Type of group:
Select type here
Adult
Student
Seniors
Families
Other
Purpose of trip:
Select purpose here
Recreational
Educational
Celebration
Other
Number of participants:
For each participant, specify: name, age, relationship to you, date and length of previous trip to Israel:
3. Scheduling Information
Planned arrival info:
Planned departure info:
Number of days you would like to tour:
Number of days you would like to stay in:
Jerusalem:
Tel Aviv:
Galilee:
Eilat:
Other:
4. Activity Preferences
Items that are of particular interest to you on your Israel visit (archaeology, kibbutz, nature, water activities, etc.):
Sites that you particularly want to see:
Sites and items that are of no interest to you:
5. Accommodation Preferences
What types of accommodations are of interest to you?
Select type here
5-star
4-star
Guest house
Any
Other
Are there specific hotels that are of particular interest to you? If so, what are they?
Jerusalem:
Tel Aviv:
Galilee:
Eilat:
Other:
6. Other Information
Special requests and needs (dietary, handicap, other):
Additional Comments:
