REGISTRATION FORM
        C4I-USA Spring Tour to ISRAEL in cooperation with C4I-Canada
           Sponsored by Christians for Israel - March 18-27, 2011

                 >>> ALL PRICES ARE IN CANADIAN DOLLARS <<<

     This registration is for the "Land Tour" portion only! The price is
  $1,639.00 per person, see itinerary.  US participants are responsible for
  making their own flight arrangements. Those who fly out of San Francisco,
      CA, can take advantage of our special negotiated all-in airfare.

 Hurry; make your reservations by contacting our US travel agency "Interface
                                  Travel".
  Contact Jodie Swider at (781) 707-2651.  Promo code: C4I-USA 2011 Israel
                                    Tour



LAST NAME (as on your passport)
_____________________________________________

FIRST NAME (as on your passport)
____________________________________________

MAILING ADDRESS: _______________________________________________________

CITY _________________________________ STATE ______    ZIP CODE
____________ COUNTRY______________

DAY TIME PHONE (       ) _________________ HOME PHONE (       )
________________

E-MAIL ADDRESS: _________________________________________________________

BIRTHDATE: MONTH ___________________ DAY _______ YEAR _______

SINGLE SUPPLEMENT AT $590: YES __ NO __   I WISH TO ROOM WITH:
__________________________________


EMERGENCY CONTACT: ________________ PHONE:(       )________________________

ENCLOSED CHEQUE PAYMENT OF DEPOSIT of $300.00

 Semi Inclusive Travel Insurance: Trip cancellation, Trip Interruption, Lost
                         Luggage, etc. upon request.
             For more info, call Ari at 1-877-999-8868, ext. 415

    FULL, NON REFUNDABLE, PAYMENT DUE BY January 18, 2011
    A 3% SURCHARGE APPLIES TO CREDIT CARD PAYMENTS

       Credit Card #_________________________________Exp. Date _________

       Name as it appears on Credit Card
___________________________________________________

       Billing Address & Zip Code
_________________________________________________________

       Signature of Card Holder ____________________________________

      Please include a clear copy of ID and both sides of credit card.

 Each person has to fill out their own application completed and mailed with
                            cheques made out to:
                        International Heritage Tours,
                       7117 Bathurst Street, Suite 200

                         Thornhill, Ontario  L4J 2J6