Holy Land Tour with Jordan — Registration

Hosted by Dr. Scott Maze • October 22 – November 4, 2026

Christ-centered journey

Please complete this form to reserve your place. A $600 deposit (check payable to North Hills Travel) is required to confirm space.

Website

Traveler information

Last Name (as on passport) *

First Name (as on passport) *

Middle Name

Date of Birth

Address

City

State

Zip

Home

Work

Cell

Passport #

Passport Expiration

Citizenship

Roommate Last

Roommate First

Single Room (if available) — additional $1,850

Emergency Contact Name

Emergency Contact Phone

Choose an option

I have read and agree to the Tour Conditions and Cancellation Policy. *

Signature (type full name)

Signature Date

Notes (optional)

Back to North Hills Travel

After submitting, please mail your $600 deposit check payable to North Hills Travel.