Hajj Registration Form

CHOOSE PACKAGE
For Triple or Double you must have 3 or 2 people sharing. If you are applying alone then choose the normal Quad sharing package
Your Name
Prefix First Last Suffix
Gender
- Male
- Female
Date of Birth
Current Address
Street Address Address Line 2 City State ZIP Code
Home Phone
Cell Phone
Email
Enter Email Confirm Email
Departure City
Which City will you be flying from? Departures from Los Angeles and San Francisco are an additional $150.
Nationality
Are You Travelling with a family member? If yes, write name and relationship
Roommates

Please note down the names of the roommates if you are choosing a double or triple room
DEPOSIT
Deposit of $3000 is required for each passenger to complete registration. Your name will not be registered unless the deposit is received. Make the check out to "CARAVAN 72" and mail it to 11244 BROWN DR RANCHO CUCAMONGA CA 91701
By reading and signing this application you agree that Caravan 72 is not responsible for cancellation or change in flights, hotel accommodations and ground transportation and lost or damaged luggage and health insurance for the duration of the trip.

Signature
Copy of passport
Marriage Certificate
If you are female under 45 traveling with husband
Birth Certificate
If you are a female under 45 or children under 18 traveling with your father

DEPOSIT