Please select one:
Payment method (please note personal checks will NOT be accepted):
Please complete this form and send a scanned copy of the front page of your passport via fax to (212) 828-1549 or email to firstname.lastname@example.org. If you are paying with a money order, please submit your form and send the money order to: Rev. Serafim Gan, 1623 Third Avenue , 19C, New York , New York 10128 .
Payment and all required documents must be received no later than March 31st . Please note you are not confirmed on the trip until your payment and all required information is received. You will receive a confirmation email when we have all the necessary documentation and payment.
By submitting this form I agree to the terms above.