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Contact Information

Religious Orientation

What is your religious affiliation?

Trip Details

Do you want VIPIsrael to arrange your flights? Yes No

Is this your first visit to Israel? Yes No

Purpose of Trip

Vacation	Business	Studies
Bar/Bat Mitzvah	Passing Through	Other

Desired Activities

1st Timer Touring

Kids

Museums

Shopping

The Outdoor Israel Experience:

Nature Reserves	Rappelling / Hiking
Water Park	Snorkeling / Diving
Inner Tubing / Rafting	Horseback Riding
Jeep Excursion	Camel / Donkey Riding
Participate in an Archaeological dig	Animal Farms (Crocodile, Ostrich, Llama)

Other Interests and Hobbies:

Do you or your children have any other interests that you would
like to include in your trip?

Accommodation Requirements:

Hotel Rating:
Room Category

How many rooms

*How did you come across "VIPIsrael"?