REDEEMER RADIO PILGRIMAGE sign-up

Redeemer Radio Odyssey June 2020 pilgrimage
Click here for trip info!

REdeemer radio Odyssey
June 2020 Poland/Medj or November 2020 Holy Land
pilgrimage sign-up form

* Indicates required field

Desired Pilgrimage *

Name exactly as it appears in passport *

Passport expiration date *

Gender (M/F) *

Birthdate Month *

Birthdate Day *

Birthdate Year *

Cell Phone Number *

AAdvantage (Poland/Medj) or MileagePlus (Holy Land) number (optional) *

Mailing address *

Email *

Emergency contact (name and phone#) *

Room option (pick one) *

Comments/special requests/name of roommate *

Each traveler must fill out a unique sign-up form.

Once your submissions are received, you will be contacted by phone or email. We will continue the sign-up process and answer any questions you might have. Please allow a few days for your submission to be processed.
Feel free to call with questions or concerns, or to sign up over the phone!
+1 (574) 335-9952

I agree to receiving marketing and promotional materials *

Submit

REdeemer radio OdysseyJune 2020 Poland/Medj or November 2020 Holy Land pilgrimage sign-up form

REdeemer radio Odyssey
June 2020 Poland/Medj or November 2020 Holy Land
pilgrimage sign-up form