New Year's Christian Fellowship Cruise

Name on Documents

Passport #

Passport Exp. #

Address

Date of Birth (DOB)

Contact #

City, State, Zip

Email Address

Travel Mate Name

Contact #

Date of Birth (DOB)

Address

City, State, Zip

Package Selection Number from above

How many packages?

Make Checks Payable: Heavenly – Matched Travel Ministry

Deposit Enclosed / Payment Method:

[ ] Check [ ] Zelle [ ] Money Order

[ ] Visa/MC Card (add 3.5%) [ ] AMX (add 3.5%)

Acct #

Exp

Heavenly – Matched reserves the right to reschedule travel related to safety and/or weather related conditions.

Contact: Ronald Ward @ Heavenly – Matched Travel

P.O. Box 8182, Houston, Texas 77288 | Phone: (713) 520-8005

E-mail: Heavenly-Matched@hotmail.com

New Year's (7) Day Cruise