Home

 
 
 

 

A.

Name:

First Name:

Last Name:
Address:
City:
State:
Zip:

Country

Home Phone:
Cell Phone:
Email:
Preferred method of contact:
 

B.

Please select one:

Economy Class
Single Occupancy
$2,700
Double Occupancy
$2,100
Business Class
Single Occupancy
$5,500
Double Occupancy
$4,900
I would like to room with:
 

C.

Payment method (please note personal checks will NOT be accepted):

Money Order made out to “Synod of Bishops”
Visa
Master Card
(no other credit cards accepted)
Billing Address (if different from above):
Address:
City:
State:
Zip:
Card Number:
Expiration Date:
 

D.

Terms:

I understand this fare covers return airfare to Moscow, lodging, food and transportation of organized trips within Russia. I also understand I must make my own way to and from JFK International Airport and must obtain my own visa (form can be obtained at www.russianconsulting.com).
Questions/Comments:

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 may17_2007@yahoo.com. 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.