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	<title>Proximo Travel</title>
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	<link>http://www.proximotravel.com</link>
	<description>Your Catholic Tour Company</description>
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		<title>Holy Land (2013, May 27-June 06)</title>
		<link>http://www.proximotravel.com/general-trips/holy-land-2013-may-27-june-06/</link>
		<comments>http://www.proximotravel.com/general-trips/holy-land-2013-may-27-june-06/#comments</comments>
		<pubDate>Sat, 19 May 2012 02:40:07 +0000</pubDate>
		<dc:creator>kara</dc:creator>
				<category><![CDATA[General Trips]]></category>
		<category><![CDATA[Holy Land]]></category>

		<guid isPermaLink="false">http://www.proximotravel.com/?p=9754</guid>
		<description><![CDATA[Jerusalem • Bethlehem Nazareth • Galilee • Via Crucis • Last Supper Gethsemane • Dormition • Nativity Church • Capernaum &#160;]]></description>
			<content:encoded><![CDATA[<h3 style="text-align: center;">Jerusalem • Bethlehem<br />
Nazareth • Galilee • Via Crucis • Last Supper<br />
Gethsemane • Dormition • Nativity Church • Capernaum</h3>
<hr />

                <div class='gform_wrapper' id='gform_wrapper_1514' style='display:none'><form method='post' enctype='multipart/form-data'  id='gform_1514'  action='/feed/'>
                        <div class='gform_heading'>
                            <span class='gform_description'>Please fill out the form below with your details to reserve your trip now.</span>
                        </div>
                        <div class='gform_body'>
                            <ul id='gform_fields_1514' class='gform_fields top_label'><li id='field_1514_50' class='gfield     gform_hidden' ><input name='input_50' id='input_1514_50' type='hidden' class='gform_hidden' value='Holy Land (2013, May 27-June 06)' /></li><li id='field_1514_55' class='gfield     gform_hidden' ><input name='input_55' id='input_1514_55' type='hidden' class='gform_hidden' value='05/20/2012' /></li><li id='field_1514_152' class='gfield  gsection' ><h2 class='gsection_title'>Passenger #1 Flight Request</h2></li><li id='field_1514_60' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_60'>Departure Airport<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_60' id='input_1514_60' type='text' value='' class='medium'  tabindex='1'  /></div><div class='gfield_description'>Please include the airport that you would like to depart from</div></li><li id='field_1514_85' class='gfield' ><label class='gfield_label' for='input_1514_85'>Seating Preference</label><div class='ginput_container'><select name='input_85' id='input_1514_85'  class='medium gfield_select' tabindex='2' ><option value='No Preference' >No Preference</option><option value='Window Seat' >Window Seat</option><option value='Middle Seat' >Middle Seat</option><option value='Aisle Seat' >Aisle Seat</option><option value='No Preference' >No Preference</option></select></div></li><li id='field_1514_161' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_23' class='gfield  gsection' ><h2 class='gsection_title'> Passenger #1: Name Information</h2></li><li id='field_1514_2' class='gfield' ><label class='gfield_label' for='input_1514_2'>Prefix</label><div class='ginput_container'><select name='input_2' id='input_1514_2'  class='medium gfield_select' tabindex='3' ><option value='Please select one...' >Please select one...</option><option value='Msgr.' >Msgr.</option><option value='Fr.' >Fr.</option><option value='Dr.' >Dr.</option><option value='Mr.' >Mr.</option><option value='Mrs.' >Mrs.</option><option value='Ms.' >Ms.</option></select></div></li><li id='field_1514_1' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_1'>First Name<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_1' id='input_1514_1' type='text' value='' class='medium'  tabindex='4'  /></div></li><li id='field_1514_4' class='gfield' ><label class='gfield_label' for='input_1514_4'>Middle Name or Initial (As it appears on passport)</label><div class='ginput_container'><input name='input_4' id='input_1514_4' type='text' value='' class='medium'  tabindex='5'  /></div></li><li id='field_1514_3' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_3'>Last Name<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_3' id='input_1514_3' type='text' value='' class='medium'  tabindex='6'  /></div></li><li id='field_1514_5' class='gfield' ><label class='gfield_label' for='input_1514_5'>Suffix</label><div class='ginput_container'><input name='input_5' id='input_1514_5' type='text' value='' class='medium'  tabindex='7'  /></div></li><li id='field_1514_52' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_7' class='gfield  gsection' ><h2 class='gsection_title'>Passenger #1: Contact Information</h2></li><li id='field_1514_15' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_15_1'>Address Information<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_1514_15'><span class='ginput_full' id='input_1514_15_1_container'><input type='text' name='input_15.1' id='input_1514_15_1' value='' tabindex='8' /><label for='input_1514_15_1' id='input_1514_15_1_label'>Street Address</label></span><span class='ginput_full' id='input_1514_15_2_container' ><input type='text' name='input_15.2' id='input_1514_15_2' value='' tabindex='9' /><label for='input_1514_15_2' id='input_1514_15_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1514_15_3_container'><input type='text' name='input_15.3' id='input_1514_15_3' value='' tabindex='10' /><label for='input_1514_15_3' id='input_1514_15.3_label'>City</label></span><span class='ginput_right' id='input_1514_15_4_container' ><select name='input_15.4' id='input_1514_15.4' tabindex='11'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1514_15.4' id='input_1514_15_4_label'>State</label></span><span class='ginput_left' id='input_1514_15_5_container'><input type='text' name='input_15.5' id='input_1514_15_5' value='' tabindex='13' /><label for='input_1514_15_5' id='input_1514_15_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_15.6' id='input_1514_15_6' value='United States'/></div></li><li id='field_1514_16' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_16'>Phone (1)<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_16' id='input_1514_16' type='text' value='' class='medium' tabindex='14' /></div></li><li id='field_1514_17' class='gfield' ><label class='gfield_label' for='input_1514_17'>Phone (2)</label><div class='ginput_container'><input name='input_17' id='input_1514_17' type='text' value='' class='medium' tabindex='15' /></div></li><li id='field_1514_14' class='gfield' ><label class='gfield_label' for='input_1514_14'>Email Address</label><div class='ginput_container'><input name='input_14' id='input_1514_14' type='text' value='' class='medium'  tabindex='16'  /></div></li><li id='field_1514_18' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_18'>Date of Birth<span class='gfield_required'>*</span></label><div class='clear-multi'><div class='gfield_date_month ginput_container' id='input_1514_18'><input type='text' maxlength='2' name='input_18[]' id='input_1514_18.1' value='' tabindex='17' /><label for='input_1514_18.1'>MM</label></div><div class='gfield_date_day ginput_container' id='input_1514_18'><input type='text' maxlength='2' name='input_18[]' id='input_1514_18.2' value='' tabindex='18' /><label for='input_1514_18.2'>DD</label></div><div class='gfield_date_year ginput_container' id='input_1514_18'><input type='text' maxlength='4' name='input_18[]' id='input_1514_18.3' value='' tabindex='19' /><label for='input_1514_18.3'>YYYY</label></div></div></li><li id='field_1514_20' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_20'>Gender<span class='gfield_required'>*</span></label><div class='ginput_container'><select name='input_20' id='input_1514_20'  class='medium gfield_select' tabindex='20' ><option value='' selected='selected'>Select one...</option><option value='Male' >Male</option><option value='Female' >Female</option></select></div></li><li id='field_1514_54' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_24' class='gfield  gsection' ><h2 class='gsection_title'>Passenger  #1: Emergency Contact Information</h2></li><li id='field_1514_26' class='gfield' ><label class='gfield_label' for='input_1514_26.3'>Name</label><div class='ginput_complex ginput_container' id='input_1514_26'><span id='input_1514_26_3_container' class='ginput_left'><input type='text' name='input_26.3' id='input_1514_26_3' value='' tabindex='21' /><label for='input_1514_26_3'>First</label></span><span id='input_1514_26_6_container' class='ginput_right'><input type='text' name='input_26.6' id='input_1514_26_6' value='' tabindex='22' /><label for='input_1514_26_6'>Last</label></span></div></li><li id='field_1514_27' class='gfield' ><label class='gfield_label' for='input_1514_27'>Phone (1)</label><div class='ginput_container'><input name='input_27' id='input_1514_27' type='text' value='' class='medium' tabindex='23' /></div></li><li id='field_1514_28' class='gfield' ><label class='gfield_label' for='input_1514_28'>Phone (2)</label><div class='ginput_container'><input name='input_28' id='input_1514_28' type='text' value='' class='medium' tabindex='24' /></div></li><li id='field_1514_29' class='gfield' ><label class='gfield_label' for='input_1514_29'>Relationship to Passenger</label><div class='ginput_container'><input name='input_29' id='input_1514_29' type='text' value='' class='medium'  tabindex='25'  /></div></li><li id='field_1514_49' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_21' class='gfield  gsection' ><h2 class='gsection_title'>Special Trip Details and Requests</h2></li><li id='field_1514_22' class='gfield' ><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1514_22'><li class='gchoice_22_1'><input name='input_22.1' type='checkbox'  value='*Special dietary concerns / requests'  id='choice_22_1' tabindex='26'  /><label for='choice_22_1'>*Special dietary concerns / requests</label></li><li class='gchoice_22_2'><input name='input_22.2' type='checkbox'  value='Wheelchair requirement'  id='choice_22_2' tabindex='27'  /><label for='choice_22_2'>Wheelchair requirement</label></li><li class='gchoice_22_3'><input name='input_22.3' type='checkbox'  value='Others (please contact me)'  id='choice_22_3' tabindex='28'  /><label for='choice_22_3'>Others (please contact me)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1514_145' class='gfield' ><label class='gfield_label' for='input_1514_145'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_145' id='input_1514_145' type='text' value='' class='medium'  tabindex='29'  /></div></li><li id='field_1514_25' class='gfield' ><label class='gfield_label' for='input_1514_25'>I would like to travel and/or room with these people:</label><div class='ginput_container'><textarea name='input_25' id='input_1514_25' class='textarea small' tabindex='30'  rows='10' cols='50'></textarea></div></li><li id='field_1514_126' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_150' class='gfield' ><label class='gfield_label'>Registering an additional passenger?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1514_150'><li class='gchoice_150_1'><input name='input_150.1' type='checkbox' onclick='gf_apply_rules(1514,[153,153,143,136,143,136,129,129,154,155,156,157,158,139,154,155,156,157,158,139,128,128,122,124,125,123,151,133,141,122,124,125,123,151,133,141,135,135,137,138,142,137,138,142,30,30,31,32,33,34,31,32,33,34,160,160,162,162]);' value='Yes'  id='choice_150_1' tabindex='31'  /><label for='choice_150_1'>Yes</label></li></ul></div></li><li id='field_1514_127' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_153' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2 Flight Request</h2></li><li id='field_1514_143' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_143'>Passenger #2: Departure Airport</label><div class='ginput_container'><input name='input_143' id='input_1514_143' type='text' value='' class='medium'  tabindex='32'  /></div><div class='gfield_description'>Please include the airport that you would like to depart from</div></li><li id='field_1514_136' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_136'>Seat Preferences</label><div class='ginput_container'><select name='input_136' id='input_1514_136'  class='medium gfield_select' tabindex='33' ><option value='No Preference' >No Preference</option><option value='Window Seat' >Window Seat</option><option value='Middle Seat' >Middle Seat</option><option value='Aisle Seat' >Aisle Seat</option><option value='No Preference' >No Preference</option></select></div></li><li id='field_1514_159' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div>
</li><li id='field_1514_129' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Name Information</h2></li><li id='field_1514_154' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_154'>Prefix</label><div class='ginput_container'><input name='input_154' id='input_1514_154' type='text' value='' class='medium'  tabindex='34'  /></div></li><li id='field_1514_155' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_155'>First Name </label><div class='ginput_container'><input name='input_155' id='input_1514_155' type='text' value='' class='medium'  tabindex='35'  /></div></li><li id='field_1514_156' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_156'>Middle Name or Initial (As it appears on passport)</label><div class='ginput_container'><input name='input_156' id='input_1514_156' type='text' value='' class='medium'  tabindex='36'  /></div></li><li id='field_1514_157' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_157'>Last Name</label><div class='ginput_container'><input name='input_157' id='input_1514_157' type='text' value='' class='medium'  tabindex='37'  /></div></li><li id='field_1514_158' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_158'>Suffix</label><div class='ginput_container'><input name='input_158' id='input_1514_158' type='text' value='' class='medium'  tabindex='38'  /></div></li><li id='field_1514_139' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_128' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Contact Information (If different from Passenger #1)</h2></li><li id='field_1514_122' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_122_1'>Passenger #2: Address</label><div class='ginput_complex ginput_container' id='input_1514_122'><span class='ginput_full' id='input_1514_122_1_container'><input type='text' name='input_122.1' id='input_1514_122_1' value='' tabindex='39' /><label for='input_1514_122_1' id='input_1514_122_1_label'>Street Address</label></span><span class='ginput_full' id='input_1514_122_2_container' ><input type='text' name='input_122.2' id='input_1514_122_2' value='' tabindex='40' /><label for='input_1514_122_2' id='input_1514_122_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1514_122_3_container'><input type='text' name='input_122.3' id='input_1514_122_3' value='' tabindex='41' /><label for='input_1514_122_3' id='input_1514_122.3_label'>City</label></span><span class='ginput_right' id='input_1514_122_4_container' ><select name='input_122.4' id='input_1514_122.4' tabindex='42'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1514_122.4' id='input_1514_122_4_label'>State</label></span><span class='ginput_left' id='input_1514_122_5_container'><input type='text' name='input_122.5' id='input_1514_122_5' value='' tabindex='44' /><label for='input_1514_122_5' id='input_1514_122_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_122.6' id='input_1514_122_6' value='United States'/></div></li><li id='field_1514_124' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_124'>Passenger #2: Phone (1)</label><div class='ginput_container'><input name='input_124' id='input_1514_124' type='text' value='' class='medium' tabindex='45' /></div></li><li id='field_1514_125' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_125'>Passenger #2: Phone (2)</label><div class='ginput_container'><input name='input_125' id='input_1514_125' type='text' value='' class='medium' tabindex='46' /></div></li><li id='field_1514_123' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_123'>Passenger #2: Email Address</label><div class='ginput_container'><input name='input_123' id='input_1514_123' type='text' value='' class='medium'  tabindex='47'  /></div></li><li id='field_1514_151' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_151'>Date of Birth</label><div class='clear-multi'><div class='gfield_date_month ginput_container' id='input_1514_151'><input type='text' maxlength='2' name='input_151[]' id='input_1514_151.1' value='' tabindex='48' /><label for='input_1514_151.1'>MM</label></div><div class='gfield_date_day ginput_container' id='input_1514_151'><input type='text' maxlength='2' name='input_151[]' id='input_1514_151.2' value='' tabindex='49' /><label for='input_1514_151.2'>DD</label></div><div class='gfield_date_year ginput_container' id='input_1514_151'><input type='text' maxlength='4' name='input_151[]' id='input_1514_151.3' value='' tabindex='50' /><label for='input_1514_151.3'>YYYY</label></div></div></li><li id='field_1514_133' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_133'>Gender</label><div class='ginput_container'><select name='input_133' id='input_1514_133'  class='small gfield_select' tabindex='51' ><option value='Please select ...' >Please select ...</option><option value='Male' >Male</option><option value='Female' >Female</option></select></div></li><li id='field_1514_141' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_135' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Special Trip Details &amp; Requests</h2></li><li id='field_1514_137' class='gfield' style='display:none;'><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1514_137'><li class='gchoice_137_1'><input name='input_137.1' type='checkbox'  value='*Special dietary concerns/requests'  id='choice_137_1' tabindex='52'  /><label for='choice_137_1'>*Special dietary concerns/requests</label></li><li class='gchoice_137_2'><input name='input_137.2' type='checkbox'  value='Wheelchair requirements'  id='choice_137_2' tabindex='53'  /><label for='choice_137_2'>Wheelchair requirements</label></li><li class='gchoice_137_3'><input name='input_137.3' type='checkbox'  value='Others (Please contact me.)'  id='choice_137_3' tabindex='54'  /><label for='choice_137_3'>Others (Please contact me.)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1514_138' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_138'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_138' id='input_1514_138' type='text' value='' class='medium'  tabindex='55'  /></div></li><li id='field_1514_142' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_30' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Emergency Contact Information </h2></li><li id='field_1514_31' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_31.3'>Name</label><div class='ginput_complex ginput_container' id='input_1514_31'><span id='input_1514_31_3_container' class='ginput_left'><input type='text' name='input_31.3' id='input_1514_31_3' value='' tabindex='56' /><label for='input_1514_31_3'>First</label></span><span id='input_1514_31_6_container' class='ginput_right'><input type='text' name='input_31.6' id='input_1514_31_6' value='' tabindex='57' /><label for='input_1514_31_6'>Last</label></span></div></li><li id='field_1514_32' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_32'>Phone (1)</label><div class='ginput_container'><input name='input_32' id='input_1514_32' type='text' value='' class='medium' tabindex='58' /></div></li><li id='field_1514_33' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_33'>Phone (2)</label><div class='ginput_container'><input name='input_33' id='input_1514_33' type='text' value='' class='medium' tabindex='59' /></div></li><li id='field_1514_34' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_34'>Relationship to Passenger</label><div class='ginput_container'><input name='input_34' id='input_1514_34' type='text' value='' class='medium'  tabindex='60'  /></div></li><li id='field_1514_163' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_160' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>If signing up more then 2 passengers please include their name and date of birth in the additional comments field located at the bottom of the form.</h2></li><li id='field_1514_162' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_38' class='gfield  gsection' ><h2 class='gsection_title'>Purchasing Options</h2><div class='gsection_description'>In order to register and save your place on the trip, a $500 non-refundable deposit is required per passenger. Payment in full must be received at 857 West Boylston St. Worcester, MA 01606, 90 days prior to trip date.</div></li><li id='field_1514_116' class='gfield           gfield_price gfield_price_1514_116 gfield_product_1514_116' ><label class='gfield_label' for='input_1514_116'>Deposit</label><div class='ginput_container'><input type='hidden' name='input_116.1' value='Deposit' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1514_116'>$500.00</span><input type='hidden' name='input_116.2' id='ginput_base_price_1514_116' class='gform_hidden' value='$500.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_116.3' value='' id='ginput_quantity_1514_116' class='ginput_quantity' size='10' tabindex='61'/></div><div class='gfield_description'>There is NO 3% surcharge on this option. DO NOT Choose this option if paying the Total Trip Price.</div></li><li id='field_1514_117' class='gfield           gfield_price gfield_price_1514_117 gfield_product_1514_117' ><label class='gfield_label' for='input_1514_117'>Travel Cancellation Protection</label><div class='ginput_container'><input type='hidden' name='input_117.1' value='Travel Cancellation Protection' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1514_117'>$200.00</span><input type='hidden' name='input_117.2' id='ginput_base_price_1514_117' class='gform_hidden' value='$200.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_117.3' value='' id='ginput_quantity_1514_117' class='ginput_quantity' size='10' tabindex='62'/></div><div class='gfield_description'>There is NO 3% surcharge on this option.</div></li><li id='field_1514_115' class='gfield           gfield_price gfield_price_1514_115 gfield_product_1514_115' ><label class='gfield_label' for='input_1514_115'>Single Supplement</label><div class='ginput_container'><input type='hidden' name='input_115.1' value='Single Supplement' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1514_115'>$700.00</span><input type='hidden' name='input_115.2' id='ginput_base_price_1514_115' class='gform_hidden' value='$700.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_115.3' value='' id='ginput_quantity_1514_115' class='ginput_quantity' size='10' tabindex='63'/></div><div class='gfield_description'>If you are traveling by yourself and prefer your own room.
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There is NO 3% surcharge on your deposit or travel cancellation protection if payment is made by credit/debit card.  There is a 3% surcharge if you pay your remaining balance with a credit/debit card.  For this trip, the credit/debit surcharge is $104.97.</div></li><li id='field_1514_96' class='gfield            gfield_price gfield_price_1514_96 gfield_donation_1514_96' ><label class='gfield_label' for='input_1514_96'>Custom Amount</label><div class='ginput_container'><input name='input_96' id='input_1514_96' type='text' value='' class='medium' tabindex='65' /></div></li><li id='field_1514_46' class='gfield' ><label class='gfield_label' for='input_1514_46'>Total</label><div class='ginput_container'><span class='ginput_total ginput_total_1514'>$0.00</span><input type='hidden' name='input_46' id='input_1514_46' class='gform_hidden'/></div></li><li id='field_1514_108' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_73' class='gfield  gsection' ><h2 class='gsection_title'>Payment Information</h2></li><li id='field_1514_79' class='gfield' ><label class='gfield_label' for='input_1514_79'>Payment Type</label><div class='ginput_container'><select name='input_79' id='input_1514_79' onchange='gf_apply_rules(1514,[97,98,99,100,101]);' class='medium gfield_select' tabindex='66' ><option value='Credit Card or Debit Card' >Credit Card or Debit Card</option><option value='Money Order' >Money Order</option><option value='Cash' >Cash</option><option value='Check' >Check</option></select></div></li><li id='field_1514_97' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_97'>Name On Card</label><div class='ginput_container'><input name='input_97' id='input_1514_97' type='text' value='' class='medium'  tabindex='67'  /></div></li><li id='field_1514_98' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_98'>Credit Card or Debit Card Number</label><div class='ginput_container'><input name='input_98' id='input_1514_98' type='text' value='' class='medium' tabindex='68' /></div></li><li id='field_1514_99' class='gfield' 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id='input_1514_77_4_container' ><select name='input_77.4' id='input_1514_77.4' tabindex='76'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1514_77.4' id='input_1514_77_4_label'>State</label></span><span class='ginput_left' id='input_1514_77_5_container'><input type='text' name='input_77.5' id='input_1514_77_5' value='' tabindex='78' /><label for='input_1514_77_5' id='input_1514_77_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_77.6' 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		<item>
		<title>Msgr. Steffen, Kenneth &#8211; St. Anthony&#8217;s Health Center, Alton, IL &#8211; HL-IR (2013, April 08-21)</title>
		<link>http://www.proximotravel.com/priest-trip/msgr-steffen-kenneth-st-anthonys-health-center-alton-il-hl-ir-2013-april-08-21/</link>
		<comments>http://www.proximotravel.com/priest-trip/msgr-steffen-kenneth-st-anthonys-health-center-alton-il-hl-ir-2013-april-08-21/#comments</comments>
		<pubDate>Fri, 18 May 2012 17:23:31 +0000</pubDate>
		<dc:creator>Lynne</dc:creator>
				<category><![CDATA[Holy Land and Italy Regular - Priest Trips]]></category>
		<category><![CDATA[Priest Trips]]></category>

		<guid isPermaLink="false">http://www.proximotravel.com/?p=9750</guid>
		<description><![CDATA[Jerusalem • Bethlehem • Galilee • Capernaum • Rome • Tuscany • Florence • Assisi • Venice Msgr. Kenneth Steffen, Chaplain St. Anthony&#8217;s Health Center, Alton, IL Dates 2013 April 08 &#8211; 21 14 Days $4,699 Airfare Included]]></description>
			<content:encoded><![CDATA[<h3 style="text-align: center;">Jerusalem • Bethlehem • Galilee • Capernaum • Rome • Tuscany • Florence • Assisi • Venice</h3>
<hr />
<h2>Msgr. Kenneth Steffen, Chaplain<br />
St. Anthony&#8217;s Health Center, Alton, IL</h2>
<h3>Dates 2013</h3>
<ul>
<li>April 08 &#8211; 21</li>
<li>14 Days $4,699</li>
<li>Airfare Included</li>
</ul>

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class='gfield' ><label class='gfield_label' for='input_1518_29'>Relationship to Passenger</label><div class='ginput_container'><input name='input_29' id='input_1518_29' type='text' value='' class='medium'  tabindex='25'  /></div></li><li id='field_1518_49' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1518_21' class='gfield  gsection' ><h2 class='gsection_title'>Special Trip Details and Requests</h2></li><li id='field_1518_22' class='gfield' ><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1518_22'><li class='gchoice_22_1'><input name='input_22.1' type='checkbox'  value='*Special dietary concerns / requests'  id='choice_22_1' tabindex='26'  /><label for='choice_22_1'>*Special dietary concerns / requests</label></li><li class='gchoice_22_2'><input name='input_22.2' type='checkbox'  value='Wheelchair requirement'  id='choice_22_2' tabindex='27'  /><label for='choice_22_2'>Wheelchair requirement</label></li><li class='gchoice_22_3'><input name='input_22.3' type='checkbox'  value='Others (please contact me)'  id='choice_22_3' tabindex='28'  /><label for='choice_22_3'>Others (please contact me)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1518_145' class='gfield' ><label class='gfield_label' for='input_1518_145'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_145' id='input_1518_145' type='text' value='' class='medium'  tabindex='29'  /></div></li><li id='field_1518_25' class='gfield' ><label class='gfield_label' for='input_1518_25'>I would like to travel and/or room with these people:</label><div class='ginput_container'><textarea name='input_25' id='input_1518_25' class='textarea small' tabindex='30'  rows='10' cols='50'></textarea></div></li><li id='field_1518_126' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1518_150' class='gfield' ><label class='gfield_label'>Registering an additional passenger?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1518_150'><li class='gchoice_150_1'><input name='input_150.1' type='checkbox' onclick='gf_apply_rules(1518,[153,153,143,136,143,136,129,129,154,155,156,157,158,139,154,155,156,157,158,139,128,128,122,124,125,123,151,133,141,122,124,125,123,151,133,141,135,135,137,138,142,137,138,142,30,30,31,32,33,34,31,32,33,34,160,160,162,162]);' value='Yes'  id='choice_150_1' tabindex='31'  /><label for='choice_150_1'>Yes</label></li></ul></div></li><li id='field_1518_127' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1518_153' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2 Flight Request</h2></li><li id='field_1518_143' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_143'>Passenger #2: Departure Airport</label><div class='ginput_container'><input name='input_143' id='input_1518_143' type='text' value='' class='medium'  tabindex='32'  /></div><div class='gfield_description'>Please include the airport that you would like to depart from</div></li><li id='field_1518_136' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_136'>Seat Preferences</label><div class='ginput_container'><select name='input_136' id='input_1518_136'  class='medium gfield_select' tabindex='33' ><option value='No Preference' >No Preference</option><option value='Window Seat' >Window Seat</option><option value='Middle Seat' >Middle Seat</option><option value='Aisle Seat' >Aisle Seat</option><option value='No Preference' >No Preference</option></select></div></li><li id='field_1518_159' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div>
</li><li id='field_1518_129' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Name Information</h2></li><li id='field_1518_154' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_154'>Prefix</label><div class='ginput_container'><input name='input_154' id='input_1518_154' type='text' value='' class='medium'  tabindex='34'  /></div></li><li id='field_1518_155' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_155'>First Name </label><div class='ginput_container'><input name='input_155' id='input_1518_155' type='text' value='' class='medium'  tabindex='35'  /></div></li><li id='field_1518_156' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_156'>Middle Name or Initial (As it appears on passport)</label><div class='ginput_container'><input name='input_156' id='input_1518_156' type='text' value='' class='medium'  tabindex='36'  /></div></li><li id='field_1518_157' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_157'>Last Name</label><div class='ginput_container'><input name='input_157' id='input_1518_157' type='text' value='' class='medium'  tabindex='37'  /></div></li><li id='field_1518_158' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_158'>Suffix</label><div class='ginput_container'><input name='input_158' id='input_1518_158' type='text' value='' class='medium'  tabindex='38'  /></div></li><li id='field_1518_139' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1518_128' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Contact Information (If different from Passenger #1)</h2></li><li id='field_1518_122' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_122_1'>Passenger #2: Address</label><div class='ginput_complex ginput_container' id='input_1518_122'><span class='ginput_full' id='input_1518_122_1_container'><input type='text' name='input_122.1' id='input_1518_122_1' value='' tabindex='39' /><label for='input_1518_122_1' id='input_1518_122_1_label'>Street Address</label></span><span class='ginput_full' id='input_1518_122_2_container' ><input type='text' name='input_122.2' id='input_1518_122_2' value='' tabindex='40' /><label for='input_1518_122_2' id='input_1518_122_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1518_122_3_container'><input type='text' name='input_122.3' id='input_1518_122_3' value='' tabindex='41' /><label for='input_1518_122_3' id='input_1518_122.3_label'>City</label></span><span class='ginput_right' id='input_1518_122_4_container' ><select name='input_122.4' id='input_1518_122.4' tabindex='42'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1518_122.4' id='input_1518_122_4_label'>State</label></span><span class='ginput_left' id='input_1518_122_5_container'><input type='text' name='input_122.5' id='input_1518_122_5' value='' tabindex='44' /><label for='input_1518_122_5' id='input_1518_122_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_122.6' id='input_1518_122_6' value='United States'/></div></li><li id='field_1518_124' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_124'>Passenger #2: Phone (1)</label><div class='ginput_container'><input name='input_124' id='input_1518_124' type='text' value='' class='medium' tabindex='45' /></div></li><li id='field_1518_125' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_125'>Passenger #2: Phone (2)</label><div class='ginput_container'><input name='input_125' id='input_1518_125' type='text' value='' class='medium' tabindex='46' /></div></li><li id='field_1518_123' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_123'>Passenger #2: Email Address</label><div class='ginput_container'><input name='input_123' id='input_1518_123' type='text' value='' class='medium'  tabindex='47'  /></div></li><li id='field_1518_151' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_151'>Date of Birth</label><div class='clear-multi'><div class='gfield_date_month ginput_container' id='input_1518_151'><input type='text' maxlength='2' name='input_151[]' id='input_1518_151.1' value='' tabindex='48' /><label for='input_1518_151.1'>MM</label></div><div class='gfield_date_day ginput_container' id='input_1518_151'><input type='text' maxlength='2' name='input_151[]' id='input_1518_151.2' value='' tabindex='49' /><label for='input_1518_151.2'>DD</label></div><div class='gfield_date_year ginput_container' id='input_1518_151'><input type='text' maxlength='4' name='input_151[]' id='input_1518_151.3' value='' tabindex='50' /><label for='input_1518_151.3'>YYYY</label></div></div></li><li id='field_1518_133' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_133'>Gender</label><div class='ginput_container'><select name='input_133' id='input_1518_133'  class='small gfield_select' tabindex='51' ><option value='Please select ...' >Please select ...</option><option value='Male' >Male</option><option value='Female' >Female</option></select></div></li><li id='field_1518_141' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1518_135' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Special Trip Details &amp; Requests</h2></li><li id='field_1518_137' class='gfield' style='display:none;'><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1518_137'><li class='gchoice_137_1'><input name='input_137.1' type='checkbox'  value='*Special dietary concerns/requests'  id='choice_137_1' tabindex='52'  /><label for='choice_137_1'>*Special dietary concerns/requests</label></li><li class='gchoice_137_2'><input name='input_137.2' type='checkbox'  value='Wheelchair requirements'  id='choice_137_2' tabindex='53'  /><label for='choice_137_2'>Wheelchair requirements</label></li><li class='gchoice_137_3'><input name='input_137.3' type='checkbox'  value='Others (Please contact me.)'  id='choice_137_3' tabindex='54'  /><label for='choice_137_3'>Others (Please contact me.)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1518_138' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_138'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_138' id='input_1518_138' type='text' value='' class='medium'  tabindex='55'  /></div></li><li id='field_1518_142' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1518_30' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Emergency Contact Information </h2></li><li id='field_1518_31' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_31.3'>Name</label><div class='ginput_complex ginput_container' id='input_1518_31'><span id='input_1518_31_3_container' class='ginput_left'><input type='text' name='input_31.3' id='input_1518_31_3' value='' tabindex='56' /><label for='input_1518_31_3'>First</label></span><span id='input_1518_31_6_container' class='ginput_right'><input type='text' name='input_31.6' id='input_1518_31_6' value='' tabindex='57' /><label for='input_1518_31_6'>Last</label></span></div></li><li id='field_1518_32' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_32'>Phone (1)</label><div class='ginput_container'><input name='input_32' id='input_1518_32' type='text' value='' class='medium' tabindex='58' /></div></li><li id='field_1518_33' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_33'>Phone (2)</label><div class='ginput_container'><input name='input_33' id='input_1518_33' type='text' value='' class='medium' tabindex='59' /></div></li><li id='field_1518_34' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_34'>Relationship to Passenger</label><div class='ginput_container'><input name='input_34' id='input_1518_34' type='text' value='' class='medium'  tabindex='60'  /></div></li><li id='field_1518_163' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1518_160' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>If signing up more than 2 passengers please include their name and date of birth in the additional comments field located at the bottom of the form.</h2></li><li id='field_1518_162' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1518_38' class='gfield  gsection' ><h2 class='gsection_title'>Purchasing Options</h2><div class='gsection_description'>In order to register and save your place on the trip, a $500 non-refundable deposit is required per passenger. Payment in full must be received at 857 West Boylston St. Worcester, MA 01606, 90 days prior to trip date.</div></li><li id='field_1518_116' class='gfield           gfield_price gfield_price_1518_116 gfield_product_1518_116' ><label class='gfield_label' for='input_1518_116'>Deposit</label><div class='ginput_container'><input type='hidden' name='input_116.1' value='Deposit' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1518_116'>$500.00</span><input type='hidden' name='input_116.2' id='ginput_base_price_1518_116' class='gform_hidden' value='$500.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_116.3' value='' id='ginput_quantity_1518_116' class='ginput_quantity' size='10' tabindex='61'/></div><div class='gfield_description'>There is NO 3% surcharge on this option. DO NOT Choose this option if paying the Total Trip Price.</div></li><li id='field_1518_117' class='gfield           gfield_price gfield_price_1518_117 gfield_product_1518_117' ><label class='gfield_label' for='input_1518_117'>Travel Cancellation Protection</label><div class='ginput_container'><input type='hidden' name='input_117.1' value='Travel Cancellation Protection' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1518_117'>$200.00</span><input type='hidden' name='input_117.2' id='ginput_base_price_1518_117' class='gform_hidden' value='$200.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_117.3' value='' id='ginput_quantity_1518_117' class='ginput_quantity' size='10' tabindex='62'/></div><div class='gfield_description'>There is NO 3% surcharge on this option.</div></li><li id='field_1518_115' class='gfield           gfield_price gfield_price_1518_115 gfield_product_1518_115' ><label class='gfield_label' for='input_1518_115'>Single Supplement</label><div class='ginput_container'><input type='hidden' name='input_115.1' value='Single Supplement' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1518_115'>$700.00</span><input type='hidden' name='input_115.2' id='ginput_base_price_1518_115' class='gform_hidden' value='$700.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_115.3' value='' id='ginput_quantity_1518_115' class='ginput_quantity' size='10' tabindex='63'/></div><div class='gfield_description'>If you are traveling by yourself and prefer your own room.
There is NO 3% surcharge on this option.</div></li><li id='field_1518_119' class='gfield           gfield_price gfield_price_1518_119 gfield_product_1518_119' ><label class='gfield_label' for='input_1518_119'>*Total Trip Price</label><div class='ginput_container'><input type='hidden' name='input_119.1' value='*Total Trip Price' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1518_119'>$4,824.97</span><input type='hidden' name='input_119.2' id='ginput_base_price_1518_119' class='gform_hidden' value='$4,824.97'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_119.3' value='' id='ginput_quantity_1518_119' class='ginput_quantity' size='10' tabindex='64'/></div><div class='gfield_description'>* This option includes the $500 deposit.
There is NO 3% surcharge on your deposit or travel cancellation protection if payment is made by credit/debit card.  There is a 3% surcharge if you pay your remaining balance with a credit/debit card.  For this trip, the credit/debit surcharge is $125.97.</div></li><li id='field_1518_96' class='gfield            gfield_price gfield_price_1518_96 gfield_donation_1518_96' ><label class='gfield_label' for='input_1518_96'>Custom Amount</label><div class='ginput_container'><input name='input_96' id='input_1518_96' type='text' value='' class='medium' tabindex='65' /></div></li><li id='field_1518_46' class='gfield' ><label class='gfield_label' for='input_1518_46'>Total</label><div class='ginput_container'><span class='ginput_total ginput_total_1518'>$0.00</span><input type='hidden' name='input_46' id='input_1518_46' class='gform_hidden'/></div></li><li id='field_1518_108' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1518_73' class='gfield  gsection' ><h2 class='gsection_title'>Payment Information</h2></li><li id='field_1518_79' class='gfield' ><label class='gfield_label' for='input_1518_79'>Payment Type</label><div class='ginput_container'><select name='input_79' id='input_1518_79' onchange='gf_apply_rules(1518,[97,98,99,100,101]);' class='medium gfield_select' tabindex='66' ><option value='Credit Card or Debit Card' >Credit Card or Debit Card</option><option value='Money Order' >Money Order</option><option value='Cash' >Cash</option><option value='Check' >Check</option></select></div></li><li id='field_1518_97' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_97'>Name On Card</label><div class='ginput_container'><input name='input_97' id='input_1518_97' type='text' value='' class='medium'  tabindex='67'  /></div></li><li id='field_1518_98' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_98'>Credit Card or Debit Card Number</label><div class='ginput_container'><input name='input_98' id='input_1518_98' type='text' value='' class='medium' tabindex='68' /></div></li><li id='field_1518_99' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_99'>CVV</label><div class='ginput_container'><input name='input_99' id='input_1518_99' type='text' value='' class='small' tabindex='69' /></div></li><li id='field_1518_100' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_100'>Expiration Month</label><div class='ginput_container'><select name='input_100' id='input_1518_100'  class='small gfield_select' tabindex='70' ><option value='01' >January</option><option value='02' >February</option><option value='03' >March</option><option value='04' >April</option><option value='05' >May</option><option value='06' >June</option><option value='07' >July</option><option value='08' >August</option><option value='09' >September</option><option value='10' >October</option><option value='11' >November</option><option value='12' >December</option></select></div></li><li id='field_1518_101' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_101'>Expiration Year</label><div class='ginput_container'><select name='input_101' id='input_1518_101'  class='small gfield_select' tabindex='71' ><option value='12' >2012</option><option value='13' >2013</option><option value='14' >2014</option><option value='15' >2015</option><option value='16' >2016</option><option value='17' >2017</option><option value='18' >2018</option><option value='19' >2019</option><option value='20' >2020</option><option value='21' >2021</option><option value='22' >2022</option><option value='23' >2023</option><option value='24' >2024</option><option value='25' >2025</option></select></div></li><li id='field_1518_103' class='gfield' ><label class='gfield_label'>Check if Billing Address and Mailing Address are the same.</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1518_103'><li class='gchoice_103_1'><input name='input_103.1' type='checkbox' onclick='gf_apply_rules(1518,[77]);' value='Same'  id='choice_103_1' 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			<wfw:commentRss>http://www.proximotravel.com/priest-trip/msgr-steffen-kenneth-st-anthonys-health-center-alton-il-hl-ir-2013-april-08-21/feed/</wfw:commentRss>
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		</item>
		<item>
		<title>Fr. Vargas, Lenin &#8211; St. Jude Catholic Church, Pearl, MS &#8211; HL-IR (2013, June 10-23)</title>
		<link>http://www.proximotravel.com/priest-trip/fr-vargas-lenin-st-jude-catholic-church-pearl-ms-hl-ir-2013-june-10-23/</link>
		<comments>http://www.proximotravel.com/priest-trip/fr-vargas-lenin-st-jude-catholic-church-pearl-ms-hl-ir-2013-june-10-23/#comments</comments>
		<pubDate>Fri, 18 May 2012 17:03:37 +0000</pubDate>
		<dc:creator>Lynne</dc:creator>
				<category><![CDATA[Holy Land and Italy Regular - Priest Trips]]></category>
		<category><![CDATA[Priest Trips]]></category>

		<guid isPermaLink="false">http://www.proximotravel.com/?p=9746</guid>
		<description><![CDATA[Jerusalem • Bethlehem • Galilee • Capernaum • Rome • Tuscany • Florence • Assisi • Venice Fr. Lenin Vargas, Pastor St. Jude Catholic Church, Pearl, MS Dates 2013 June 10 &#8211; 23 14 Days $4,699 Airfare Included]]></description>
			<content:encoded><![CDATA[<h3 style="text-align: center;">Jerusalem • Bethlehem • Galilee • Capernaum • Rome • Tuscany • Florence • Assisi • Venice</h3>
<hr />
<h2>Fr. Lenin Vargas, Pastor<br />
St. Jude Catholic Church, Pearl, MS</h2>
<h3>Dates 2013</h3>
<ul>
<li>June 10 &#8211; 23</li>
<li>14 Days $4,699</li>
<li>Airfare Included</li>
</ul>

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>Mrs.</option><option value='Ms.' >Ms.</option></select></div></li><li id='field_1518_1' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1518_1'>First Name<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_1' id='input_1518_1' type='text' value='' class='medium'  tabindex='4'  /></div></li><li id='field_1518_4' class='gfield' ><label class='gfield_label' for='input_1518_4'>Middle Name or Initial (As it appears on passport)</label><div class='ginput_container'><input name='input_4' id='input_1518_4' type='text' value='' class='medium'  tabindex='5'  /></div></li><li id='field_1518_3' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1518_3'>Last Name<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_3' id='input_1518_3' type='text' value='' class='medium'  tabindex='6'  /></div></li><li id='field_1518_5' class='gfield' ><label class='gfield_label' for='input_1518_5'>Suffix</label><div class='ginput_container'><input name='input_5' id='input_1518_5' type='text' value='' class='medium'  tabindex='7'  /></div></li><li id='field_1518_52' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1518_7' class='gfield  gsection' ><h2 class='gsection_title'>Passenger #1: Contact Information</h2></li><li id='field_1518_15' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1518_15_1'>Address Information<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_1518_15'><span class='ginput_full' id='input_1518_15_1_container'><input type='text' name='input_15.1' id='input_1518_15_1' value='' tabindex='8' /><label for='input_1518_15_1' id='input_1518_15_1_label'>Street Address</label></span><span class='ginput_full' id='input_1518_15_2_container' ><input type='text' name='input_15.2' id='input_1518_15_2' value='' tabindex='9' /><label for='input_1518_15_2' id='input_1518_15_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1518_15_3_container'><input type='text' name='input_15.3' id='input_1518_15_3' value='' tabindex='10' /><label for='input_1518_15_3' id='input_1518_15.3_label'>City</label></span><span class='ginput_right' id='input_1518_15_4_container' ><select name='input_15.4' id='input_1518_15.4' tabindex='11'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1518_15.4' id='input_1518_15_4_label'>State</label></span><span class='ginput_left' id='input_1518_15_5_container'><input type='text' name='input_15.5' id='input_1518_15_5' value='' tabindex='13' /><label for='input_1518_15_5' id='input_1518_15_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_15.6' id='input_1518_15_6' value='United States'/></div></li><li id='field_1518_16' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1518_16'>Phone (1)<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_16' id='input_1518_16' type='text' value='' class='medium' tabindex='14' /></div></li><li id='field_1518_17' class='gfield' ><label class='gfield_label' for='input_1518_17'>Phone (2)</label><div class='ginput_container'><input name='input_17' id='input_1518_17' type='text' value='' class='medium' tabindex='15' /></div></li><li id='field_1518_14' class='gfield' ><label class='gfield_label' for='input_1518_14'>Email Address</label><div class='ginput_container'><input name='input_14' id='input_1518_14' type='text' value='' class='medium'  tabindex='16'  /></div></li><li id='field_1518_18' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1518_18'>Date of Birth<span class='gfield_required'>*</span></label><div class='clear-multi'><div class='gfield_date_month ginput_container' id='input_1518_18'><input type='text' maxlength='2' name='input_18[]' id='input_1518_18.1' value='' tabindex='17' /><label for='input_1518_18.1'>MM</label></div><div class='gfield_date_day ginput_container' id='input_1518_18'><input type='text' maxlength='2' name='input_18[]' id='input_1518_18.2' value='' tabindex='18' /><label for='input_1518_18.2'>DD</label></div><div class='gfield_date_year ginput_container' id='input_1518_18'><input type='text' maxlength='4' name='input_18[]' id='input_1518_18.3' value='' tabindex='19' /><label for='input_1518_18.3'>YYYY</label></div></div></li><li id='field_1518_20' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1518_20'>Gender<span class='gfield_required'>*</span></label><div class='ginput_container'><select name='input_20' id='input_1518_20'  class='medium gfield_select' tabindex='20' ><option value='' selected='selected'>Select one...</option><option value='Male' >Male</option><option value='Female' >Female</option></select></div></li><li id='field_1518_54' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1518_24' class='gfield  gsection' ><h2 class='gsection_title'>Passenger  #1: Emergency Contact Information</h2></li><li id='field_1518_26' class='gfield' ><label class='gfield_label' for='input_1518_26.3'>Name</label><div class='ginput_complex ginput_container' id='input_1518_26'><span id='input_1518_26_3_container' class='ginput_left'><input type='text' name='input_26.3' id='input_1518_26_3' value='' tabindex='21' /><label for='input_1518_26_3'>First</label></span><span id='input_1518_26_6_container' class='ginput_right'><input type='text' name='input_26.6' id='input_1518_26_6' value='' tabindex='22' /><label for='input_1518_26_6'>Last</label></span></div></li><li id='field_1518_27' class='gfield' ><label class='gfield_label' for='input_1518_27'>Phone (1)</label><div class='ginput_container'><input name='input_27' id='input_1518_27' type='text' value='' class='medium' tabindex='23' /></div></li><li id='field_1518_28' class='gfield' ><label class='gfield_label' for='input_1518_28'>Phone (2)</label><div class='ginput_container'><input name='input_28' id='input_1518_28' type='text' value='' class='medium' tabindex='24' /></div></li><li id='field_1518_29' class='gfield' ><label class='gfield_label' for='input_1518_29'>Relationship to Passenger</label><div class='ginput_container'><input name='input_29' id='input_1518_29' type='text' value='' class='medium'  tabindex='25'  /></div></li><li id='field_1518_49' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1518_21' class='gfield  gsection' ><h2 class='gsection_title'>Special Trip Details and Requests</h2></li><li id='field_1518_22' class='gfield' ><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1518_22'><li class='gchoice_22_1'><input name='input_22.1' type='checkbox'  value='*Special dietary concerns / requests'  id='choice_22_1' tabindex='26'  /><label for='choice_22_1'>*Special dietary concerns / requests</label></li><li class='gchoice_22_2'><input name='input_22.2' type='checkbox'  value='Wheelchair requirement'  id='choice_22_2' tabindex='27'  /><label for='choice_22_2'>Wheelchair requirement</label></li><li class='gchoice_22_3'><input name='input_22.3' type='checkbox'  value='Others (please contact me)'  id='choice_22_3' tabindex='28'  /><label for='choice_22_3'>Others (please contact me)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1518_145' class='gfield' ><label class='gfield_label' for='input_1518_145'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_145' id='input_1518_145' type='text' value='' class='medium'  tabindex='29'  /></div></li><li id='field_1518_25' class='gfield' ><label class='gfield_label' for='input_1518_25'>I would like to travel and/or room with these people:</label><div class='ginput_container'><textarea name='input_25' id='input_1518_25' class='textarea small' tabindex='30'  rows='10' cols='50'></textarea></div></li><li id='field_1518_126' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1518_150' class='gfield' ><label class='gfield_label'>Registering an additional passenger?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1518_150'><li class='gchoice_150_1'><input name='input_150.1' type='checkbox' onclick='gf_apply_rules(1518,[153,153,143,136,143,136,129,129,154,155,156,157,158,139,154,155,156,157,158,139,128,128,122,124,125,123,151,133,141,122,124,125,123,151,133,141,135,135,137,138,142,137,138,142,30,30,31,32,33,34,31,32,33,34,160,160,162,162]);' value='Yes'  id='choice_150_1' tabindex='31'  /><label for='choice_150_1'>Yes</label></li></ul></div></li><li id='field_1518_127' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1518_153' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2 Flight Request</h2></li><li id='field_1518_143' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_143'>Passenger #2: Departure Airport</label><div class='ginput_container'><input name='input_143' id='input_1518_143' type='text' value='' class='medium'  tabindex='32'  /></div><div class='gfield_description'>Please include the airport that you would like to depart from</div></li><li id='field_1518_136' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_136'>Seat Preferences</label><div class='ginput_container'><select name='input_136' id='input_1518_136'  class='medium gfield_select' tabindex='33' ><option value='No Preference' >No Preference</option><option value='Window Seat' >Window Seat</option><option value='Middle Seat' >Middle Seat</option><option value='Aisle Seat' >Aisle Seat</option><option value='No Preference' >No Preference</option></select></div></li><li id='field_1518_159' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div>
</li><li id='field_1518_129' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Name Information</h2></li><li id='field_1518_154' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_154'>Prefix</label><div class='ginput_container'><input name='input_154' id='input_1518_154' type='text' value='' class='medium'  tabindex='34'  /></div></li><li id='field_1518_155' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_155'>First Name </label><div class='ginput_container'><input name='input_155' id='input_1518_155' type='text' value='' class='medium'  tabindex='35'  /></div></li><li id='field_1518_156' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_156'>Middle Name or Initial (As it appears on passport)</label><div class='ginput_container'><input name='input_156' id='input_1518_156' type='text' value='' class='medium'  tabindex='36'  /></div></li><li id='field_1518_157' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_157'>Last Name</label><div class='ginput_container'><input name='input_157' id='input_1518_157' type='text' value='' class='medium'  tabindex='37'  /></div></li><li id='field_1518_158' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_158'>Suffix</label><div class='ginput_container'><input name='input_158' id='input_1518_158' type='text' value='' class='medium'  tabindex='38'  /></div></li><li id='field_1518_139' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1518_128' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Contact Information (If different from Passenger #1)</h2></li><li id='field_1518_122' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_122_1'>Passenger #2: Address</label><div class='ginput_complex ginput_container' id='input_1518_122'><span class='ginput_full' id='input_1518_122_1_container'><input type='text' name='input_122.1' id='input_1518_122_1' value='' tabindex='39' /><label for='input_1518_122_1' id='input_1518_122_1_label'>Street Address</label></span><span class='ginput_full' id='input_1518_122_2_container' ><input type='text' name='input_122.2' id='input_1518_122_2' value='' tabindex='40' /><label for='input_1518_122_2' id='input_1518_122_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1518_122_3_container'><input type='text' name='input_122.3' id='input_1518_122_3' value='' tabindex='41' /><label for='input_1518_122_3' id='input_1518_122.3_label'>City</label></span><span class='ginput_right' id='input_1518_122_4_container' ><select name='input_122.4' id='input_1518_122.4' tabindex='42'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1518_122.4' id='input_1518_122_4_label'>State</label></span><span class='ginput_left' id='input_1518_122_5_container'><input type='text' name='input_122.5' id='input_1518_122_5' value='' tabindex='44' /><label for='input_1518_122_5' id='input_1518_122_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_122.6' id='input_1518_122_6' value='United States'/></div></li><li id='field_1518_124' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_124'>Passenger #2: Phone (1)</label><div class='ginput_container'><input name='input_124' id='input_1518_124' type='text' value='' class='medium' tabindex='45' /></div></li><li id='field_1518_125' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_125'>Passenger #2: Phone (2)</label><div class='ginput_container'><input name='input_125' id='input_1518_125' type='text' value='' class='medium' tabindex='46' /></div></li><li id='field_1518_123' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_123'>Passenger #2: Email Address</label><div class='ginput_container'><input name='input_123' id='input_1518_123' type='text' value='' class='medium'  tabindex='47'  /></div></li><li id='field_1518_151' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_151'>Date of Birth</label><div class='clear-multi'><div class='gfield_date_month ginput_container' id='input_1518_151'><input type='text' maxlength='2' name='input_151[]' id='input_1518_151.1' value='' tabindex='48' /><label for='input_1518_151.1'>MM</label></div><div class='gfield_date_day ginput_container' id='input_1518_151'><input type='text' maxlength='2' name='input_151[]' id='input_1518_151.2' value='' tabindex='49' /><label for='input_1518_151.2'>DD</label></div><div class='gfield_date_year ginput_container' id='input_1518_151'><input type='text' maxlength='4' name='input_151[]' id='input_1518_151.3' value='' tabindex='50' /><label for='input_1518_151.3'>YYYY</label></div></div></li><li id='field_1518_133' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_133'>Gender</label><div class='ginput_container'><select name='input_133' id='input_1518_133'  class='small gfield_select' tabindex='51' ><option value='Please select ...' >Please select ...</option><option value='Male' >Male</option><option value='Female' >Female</option></select></div></li><li id='field_1518_141' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1518_135' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Special Trip Details &amp; Requests</h2></li><li id='field_1518_137' class='gfield' style='display:none;'><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1518_137'><li class='gchoice_137_1'><input name='input_137.1' type='checkbox'  value='*Special dietary concerns/requests'  id='choice_137_1' tabindex='52'  /><label for='choice_137_1'>*Special dietary concerns/requests</label></li><li class='gchoice_137_2'><input name='input_137.2' type='checkbox'  value='Wheelchair requirements'  id='choice_137_2' tabindex='53'  /><label for='choice_137_2'>Wheelchair requirements</label></li><li class='gchoice_137_3'><input name='input_137.3' type='checkbox'  value='Others (Please contact me.)'  id='choice_137_3' tabindex='54'  /><label for='choice_137_3'>Others (Please contact me.)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1518_138' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_138'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_138' id='input_1518_138' type='text' value='' class='medium'  tabindex='55'  /></div></li><li id='field_1518_142' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1518_30' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Emergency Contact Information </h2></li><li id='field_1518_31' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_31.3'>Name</label><div class='ginput_complex ginput_container' id='input_1518_31'><span id='input_1518_31_3_container' class='ginput_left'><input type='text' name='input_31.3' id='input_1518_31_3' value='' tabindex='56' /><label for='input_1518_31_3'>First</label></span><span id='input_1518_31_6_container' class='ginput_right'><input type='text' name='input_31.6' id='input_1518_31_6' value='' tabindex='57' /><label for='input_1518_31_6'>Last</label></span></div></li><li id='field_1518_32' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_32'>Phone (1)</label><div class='ginput_container'><input name='input_32' id='input_1518_32' type='text' value='' class='medium' tabindex='58' /></div></li><li id='field_1518_33' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_33'>Phone (2)</label><div class='ginput_container'><input name='input_33' id='input_1518_33' type='text' value='' class='medium' tabindex='59' /></div></li><li id='field_1518_34' class='gfield' style='display:none;'><label class='gfield_label' for='input_1518_34'>Relationship to Passenger</label><div class='ginput_container'><input name='input_34' id='input_1518_34' type='text' value='' class='medium'  tabindex='60'  /></div></li><li id='field_1518_163' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1518_160' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>If signing up more than 2 passengers please include their name and date of birth in the additional comments field located at the bottom of the form.</h2></li><li id='field_1518_162' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1518_38' class='gfield  gsection' ><h2 class='gsection_title'>Purchasing Options</h2><div class='gsection_description'>In order to register and save your place on the trip, a $500 non-refundable deposit is required per passenger. Payment in full must be received at 857 West Boylston St. Worcester, MA 01606, 90 days prior to trip date.</div></li><li id='field_1518_116' class='gfield           gfield_price gfield_price_1518_116 gfield_product_1518_116' ><label class='gfield_label' for='input_1518_116'>Deposit</label><div class='ginput_container'><input type='hidden' name='input_116.1' value='Deposit' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1518_116'>$500.00</span><input type='hidden' name='input_116.2' id='ginput_base_price_1518_116' class='gform_hidden' value='$500.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_116.3' value='' id='ginput_quantity_1518_116' class='ginput_quantity' size='10' tabindex='61'/></div><div class='gfield_description'>There is NO 3% surcharge on this option. 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There is NO 3% surcharge on your deposit or travel cancellation protection if payment is made by credit/debit card.  There is a 3% surcharge if you pay your remaining balance with a credit/debit card.  For this trip, the credit/debit surcharge is $125.97.</div></li><li id='field_1518_96' class='gfield            gfield_price gfield_price_1518_96 gfield_donation_1518_96' ><label class='gfield_label' for='input_1518_96'>Custom Amount</label><div class='ginput_container'><input name='input_96' id='input_1518_96' type='text' value='' class='medium' tabindex='65' /></div></li><li id='field_1518_46' class='gfield' ><label class='gfield_label' for='input_1518_46'>Total</label><div class='ginput_container'><span class='ginput_total ginput_total_1518'>$0.00</span><input type='hidden' name='input_46' id='input_1518_46' class='gform_hidden'/></div></li><li id='field_1518_108' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1518_73' class='gfield  gsection' ><h2 class='gsection_title'>Payment Information</h2></li><li id='field_1518_79' class='gfield' ><label class='gfield_label' for='input_1518_79'>Payment 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value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1518_77.4' id='input_1518_77_4_label'>State</label></span><span class='ginput_left' id='input_1518_77_5_container'><input type='text' name='input_77.5' id='input_1518_77_5' value='' tabindex='78' /><label for='input_1518_77_5' id='input_1518_77_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_77.6' 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		</item>
		<item>
		<title>Fr. McGing, Thomas &#8211; Holy Savior Catholic Church, Clinton, MS &#8211; IR (2013, October 19-27)</title>
		<link>http://www.proximotravel.com/priest-trip/fr-mcging-thomas-holy-savior-catholic-church-clinton-ms-ir-2013-october-19-27/</link>
		<comments>http://www.proximotravel.com/priest-trip/fr-mcging-thomas-holy-savior-catholic-church-clinton-ms-ir-2013-october-19-27/#comments</comments>
		<pubDate>Fri, 18 May 2012 16:45:44 +0000</pubDate>
		<dc:creator>Lynne</dc:creator>
				<category><![CDATA[Italy Regular - Priest Trips]]></category>
		<category><![CDATA[Priest Trips]]></category>

		<guid isPermaLink="false">http://www.proximotravel.com/?p=9742</guid>
		<description><![CDATA[Rome • Tuscany • Florence • Assisi • Venice Fr. Thomas McGing, Pastor Holy Savior Catholic Church, Clinton, MS Dates in 2013 October 19 &#8211; 27 $3,599 9 Days Airfare included]]></description>
			<content:encoded><![CDATA[<h3 style="text-align: center;">Rome • Tuscany • Florence • Assisi • Venice</h3>
<hr />
<h2>Fr. Thomas McGing, Pastor<br />
Holy Savior Catholic Church, Clinton, MS</h2>
<h3>Dates in 2013</h3>
<ul>
<li>October 19 &#8211; 27</li>
<li>$3,599 9 Days</li>
<li>Airfare included</li>
</ul>

                <div class='gform_wrapper' id='gform_wrapper_1516' style='display:none'><form method='post' enctype='multipart/form-data'  id='gform_1516'  action='/feed/'>
                        <div class='gform_heading'>
                            <span class='gform_description'>Please fill out the form below with your details to reserve your trip now.</span>
                        </div>
                        <div class='gform_body'>
                            <ul id='gform_fields_1516' class='gform_fields top_label'><li id='field_1516_50' class='gfield     gform_hidden' ><input name='input_50' id='input_1516_50' type='hidden' class='gform_hidden' value='Fr. McGing, Thomas - Holy Savior Catholic Church, Clinton, MS - IR (2013, October 19-27)' /></li><li id='field_1516_55' class='gfield     gform_hidden' ><input name='input_55' id='input_1516_55' type='hidden' class='gform_hidden' value='05/20/2012' /></li><li id='field_1516_152' class='gfield  gsection' ><h2 class='gsection_title'>Passenger #1 Flight Request</h2></li><li id='field_1516_60' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1516_60'>Departure Airport<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_60' id='input_1516_60' type='text' value='' class='medium'  tabindex='1'  /></div><div class='gfield_description'>Please include the airport that you would like to depart from</div></li><li id='field_1516_85' class='gfield' ><label class='gfield_label' for='input_1516_85'>Seating Preference</label><div class='ginput_container'><select name='input_85' id='input_1516_85'  class='medium gfield_select' tabindex='2' ><option value='No Preference' >No Preference</option><option value='Window Seat' >Window Seat</option><option value='Middle Seat' >Middle Seat</option><option value='Aisle Seat' >Aisle Seat</option><option value='No Preference' >No Preference</option></select></div></li><li id='field_1516_161' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1516_23' class='gfield  gsection' ><h2 class='gsection_title'> Passenger #1: Name Information</h2></li><li id='field_1516_2' class='gfield' ><label class='gfield_label' for='input_1516_2'>Prefix</label><div class='ginput_container'><select name='input_2' id='input_1516_2'  class='medium gfield_select' tabindex='3' ><option value='Please select one...' >Please select one...</option><option value='Msgr.' >Msgr.</option><option value='Fr.' >Fr.</option><option value='Dr.' >Dr.</option><option value='Mr.' >Mr.</option><option value='Mrs.' >Mrs.</option><option value='Ms.' >Ms.</option></select></div></li><li id='field_1516_1' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1516_1'>First Name<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_1' id='input_1516_1' type='text' value='' class='medium'  tabindex='4'  /></div></li><li id='field_1516_4' class='gfield' ><label class='gfield_label' for='input_1516_4'>Middle Name or Initial (As it appears on passport)</label><div class='ginput_container'><input name='input_4' id='input_1516_4' type='text' value='' class='medium'  tabindex='5'  /></div></li><li id='field_1516_3' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1516_3'>Last Name<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_3' id='input_1516_3' type='text' value='' class='medium'  tabindex='6'  /></div></li><li id='field_1516_5' class='gfield' ><label class='gfield_label' for='input_1516_5'>Suffix</label><div class='ginput_container'><input name='input_5' id='input_1516_5' type='text' value='' class='medium'  tabindex='7'  /></div></li><li id='field_1516_52' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1516_7' class='gfield  gsection' ><h2 class='gsection_title'>Passenger #1: Contact Information</h2></li><li id='field_1516_15' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1516_15_1'>Address Information<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_1516_15'><span class='ginput_full' id='input_1516_15_1_container'><input type='text' name='input_15.1' id='input_1516_15_1' value='' tabindex='8' /><label for='input_1516_15_1' id='input_1516_15_1_label'>Street Address</label></span><span class='ginput_full' id='input_1516_15_2_container' ><input type='text' name='input_15.2' id='input_1516_15_2' value='' tabindex='9' /><label for='input_1516_15_2' id='input_1516_15_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1516_15_3_container'><input type='text' name='input_15.3' id='input_1516_15_3' value='' tabindex='10' /><label for='input_1516_15_3' id='input_1516_15.3_label'>City</label></span><span class='ginput_right' id='input_1516_15_4_container' ><select name='input_15.4' id='input_1516_15.4' tabindex='11'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1516_15.4' id='input_1516_15_4_label'>State</label></span><span class='ginput_left' id='input_1516_15_5_container'><input type='text' name='input_15.5' id='input_1516_15_5' value='' tabindex='13' /><label for='input_1516_15_5' id='input_1516_15_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_15.6' id='input_1516_15_6' value='United States'/></div></li><li id='field_1516_16' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1516_16'>Phone (1)<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_16' id='input_1516_16' type='text' value='' class='medium' tabindex='14' /></div></li><li id='field_1516_17' class='gfield' ><label class='gfield_label' for='input_1516_17'>Phone (2)</label><div class='ginput_container'><input name='input_17' id='input_1516_17' type='text' value='' class='medium' tabindex='15' /></div></li><li id='field_1516_14' class='gfield' ><label class='gfield_label' for='input_1516_14'>Email Address</label><div class='ginput_container'><input name='input_14' id='input_1516_14' type='text' value='' class='medium'  tabindex='16'  /></div></li><li id='field_1516_18' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1516_18'>Date of Birth<span class='gfield_required'>*</span></label><div class='clear-multi'><div class='gfield_date_month ginput_container' id='input_1516_18'><input type='text' maxlength='2' name='input_18[]' id='input_1516_18.1' value='' tabindex='17' /><label for='input_1516_18.1'>MM</label></div><div class='gfield_date_day ginput_container' id='input_1516_18'><input type='text' maxlength='2' name='input_18[]' id='input_1516_18.2' value='' tabindex='18' /><label for='input_1516_18.2'>DD</label></div><div class='gfield_date_year ginput_container' id='input_1516_18'><input type='text' maxlength='4' name='input_18[]' id='input_1516_18.3' value='' tabindex='19' /><label for='input_1516_18.3'>YYYY</label></div></div></li><li id='field_1516_20' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1516_20'>Gender<span class='gfield_required'>*</span></label><div class='ginput_container'><select name='input_20' id='input_1516_20'  class='medium gfield_select' tabindex='20' ><option value='' selected='selected'>Select one...</option><option value='Male' >Male</option><option value='Female' >Female</option></select></div></li><li id='field_1516_54' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1516_24' class='gfield  gsection' ><h2 class='gsection_title'>Passenger  #1: Emergency Contact Information</h2></li><li id='field_1516_26' class='gfield' ><label class='gfield_label' for='input_1516_26.3'>Name</label><div class='ginput_complex ginput_container' id='input_1516_26'><span id='input_1516_26_3_container' class='ginput_left'><input type='text' name='input_26.3' id='input_1516_26_3' value='' tabindex='21' /><label for='input_1516_26_3'>First</label></span><span id='input_1516_26_6_container' class='ginput_right'><input type='text' name='input_26.6' id='input_1516_26_6' value='' tabindex='22' /><label for='input_1516_26_6'>Last</label></span></div></li><li id='field_1516_27' class='gfield' ><label class='gfield_label' for='input_1516_27'>Phone (1)</label><div class='ginput_container'><input name='input_27' id='input_1516_27' type='text' value='' class='medium' tabindex='23' /></div></li><li id='field_1516_28' class='gfield' ><label class='gfield_label' for='input_1516_28'>Phone (2)</label><div class='ginput_container'><input name='input_28' id='input_1516_28' type='text' value='' class='medium' tabindex='24' /></div></li><li id='field_1516_29' class='gfield' ><label class='gfield_label' for='input_1516_29'>Relationship to Passenger</label><div class='ginput_container'><input name='input_29' id='input_1516_29' type='text' value='' class='medium'  tabindex='25'  /></div></li><li id='field_1516_49' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1516_21' class='gfield  gsection' ><h2 class='gsection_title'>Special Trip Details and Requests</h2></li><li id='field_1516_22' class='gfield' ><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1516_22'><li class='gchoice_22_1'><input name='input_22.1' type='checkbox'  value='*Special dietary concerns / requests'  id='choice_22_1' tabindex='26'  /><label for='choice_22_1'>*Special dietary concerns / requests</label></li><li class='gchoice_22_2'><input name='input_22.2' type='checkbox'  value='Wheelchair requirement'  id='choice_22_2' tabindex='27'  /><label for='choice_22_2'>Wheelchair requirement</label></li><li class='gchoice_22_3'><input name='input_22.3' type='checkbox'  value='Others (please contact me)'  id='choice_22_3' tabindex='28'  /><label for='choice_22_3'>Others (please contact me)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1516_145' class='gfield' ><label class='gfield_label' for='input_1516_145'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_145' id='input_1516_145' type='text' value='' class='medium'  tabindex='29'  /></div></li><li id='field_1516_25' class='gfield' ><label class='gfield_label' for='input_1516_25'>I would like to travel and/or room with these people:</label><div class='ginput_container'><textarea name='input_25' id='input_1516_25' class='textarea small' tabindex='30'  rows='10' cols='50'></textarea></div></li><li id='field_1516_126' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1516_150' class='gfield' ><label class='gfield_label'>Registering an additional passenger?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1516_150'><li class='gchoice_150_1'><input name='input_150.1' type='checkbox' onclick='gf_apply_rules(1516,[153,153,143,136,143,136,129,129,154,155,156,157,158,139,154,155,156,157,158,139,128,128,122,124,125,123,151,133,141,122,124,125,123,151,133,141,135,135,137,138,142,137,138,142,30,30,31,32,33,34,31,32,33,34,160,160,162,162]);' value='Yes'  id='choice_150_1' tabindex='31'  /><label for='choice_150_1'>Yes</label></li></ul></div></li><li id='field_1516_127' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1516_153' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2 Flight Request</h2></li><li id='field_1516_143' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_143'>Passenger #2: Departure Airport</label><div class='ginput_container'><input name='input_143' id='input_1516_143' type='text' value='' class='medium'  tabindex='32'  /></div><div class='gfield_description'>Please include the airport that you would like to depart from</div></li><li id='field_1516_136' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_136'>Seat Preferences</label><div class='ginput_container'><select name='input_136' id='input_1516_136'  class='medium gfield_select' tabindex='33' ><option value='No Preference' >No Preference</option><option value='Window Seat' >Window Seat</option><option value='Middle Seat' >Middle Seat</option><option value='Aisle Seat' >Aisle Seat</option><option value='No Preference' >No Preference</option></select></div></li><li id='field_1516_159' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div>
</li><li id='field_1516_129' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Name Information</h2></li><li id='field_1516_154' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_154'>Prefix</label><div class='ginput_container'><input name='input_154' id='input_1516_154' type='text' value='' class='medium'  tabindex='34'  /></div></li><li id='field_1516_155' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_155'>First Name </label><div class='ginput_container'><input name='input_155' id='input_1516_155' type='text' value='' class='medium'  tabindex='35'  /></div></li><li id='field_1516_156' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_156'>Middle Name or Initial (As it appears on passport)</label><div class='ginput_container'><input name='input_156' id='input_1516_156' type='text' value='' class='medium'  tabindex='36'  /></div></li><li id='field_1516_157' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_157'>Last Name</label><div class='ginput_container'><input name='input_157' id='input_1516_157' type='text' value='' class='medium'  tabindex='37'  /></div></li><li id='field_1516_158' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_158'>Suffix</label><div class='ginput_container'><input name='input_158' id='input_1516_158' type='text' value='' class='medium'  tabindex='38'  /></div></li><li id='field_1516_139' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1516_128' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Contact Information (If different from Passenger #1)</h2></li><li id='field_1516_122' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_122_1'>Passenger #2: Address</label><div class='ginput_complex ginput_container' id='input_1516_122'><span class='ginput_full' id='input_1516_122_1_container'><input type='text' name='input_122.1' id='input_1516_122_1' value='' tabindex='39' /><label for='input_1516_122_1' id='input_1516_122_1_label'>Street Address</label></span><span class='ginput_full' id='input_1516_122_2_container' ><input type='text' name='input_122.2' id='input_1516_122_2' value='' tabindex='40' /><label for='input_1516_122_2' id='input_1516_122_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1516_122_3_container'><input type='text' name='input_122.3' id='input_1516_122_3' value='' tabindex='41' /><label for='input_1516_122_3' id='input_1516_122.3_label'>City</label></span><span class='ginput_right' id='input_1516_122_4_container' ><select name='input_122.4' id='input_1516_122.4' tabindex='42'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1516_122.4' id='input_1516_122_4_label'>State</label></span><span class='ginput_left' id='input_1516_122_5_container'><input type='text' name='input_122.5' id='input_1516_122_5' value='' tabindex='44' /><label for='input_1516_122_5' id='input_1516_122_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_122.6' id='input_1516_122_6' value='United States'/></div></li><li id='field_1516_124' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_124'>Passenger #2: Phone (1)</label><div class='ginput_container'><input name='input_124' id='input_1516_124' type='text' value='' class='medium' tabindex='45' /></div></li><li id='field_1516_125' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_125'>Passenger #2: Phone (2)</label><div class='ginput_container'><input name='input_125' id='input_1516_125' type='text' value='' class='medium' tabindex='46' /></div></li><li id='field_1516_123' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_123'>Passenger #2: Email Address</label><div class='ginput_container'><input name='input_123' id='input_1516_123' type='text' value='' class='medium'  tabindex='47'  /></div></li><li id='field_1516_151' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_151'>Date of Birth</label><div class='clear-multi'><div class='gfield_date_month ginput_container' id='input_1516_151'><input type='text' maxlength='2' name='input_151[]' id='input_1516_151.1' value='' tabindex='48' /><label for='input_1516_151.1'>MM</label></div><div class='gfield_date_day ginput_container' id='input_1516_151'><input type='text' maxlength='2' name='input_151[]' id='input_1516_151.2' value='' tabindex='49' /><label for='input_1516_151.2'>DD</label></div><div class='gfield_date_year ginput_container' id='input_1516_151'><input type='text' maxlength='4' name='input_151[]' id='input_1516_151.3' value='' tabindex='50' /><label for='input_1516_151.3'>YYYY</label></div></div></li><li id='field_1516_133' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_133'>Gender</label><div class='ginput_container'><select name='input_133' id='input_1516_133'  class='small gfield_select' tabindex='51' ><option value='Please select ...' >Please select ...</option><option value='Male' >Male</option><option value='Female' >Female</option></select></div></li><li id='field_1516_141' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1516_135' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Special Trip Details &amp; Requests</h2></li><li id='field_1516_137' class='gfield' style='display:none;'><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1516_137'><li class='gchoice_137_1'><input name='input_137.1' type='checkbox'  value='*Special dietary concerns/requests'  id='choice_137_1' tabindex='52'  /><label for='choice_137_1'>*Special dietary concerns/requests</label></li><li class='gchoice_137_2'><input name='input_137.2' type='checkbox'  value='Wheelchair requirements'  id='choice_137_2' tabindex='53'  /><label for='choice_137_2'>Wheelchair requirements</label></li><li class='gchoice_137_3'><input name='input_137.3' type='checkbox'  value='Others (Please contact me.)'  id='choice_137_3' tabindex='54'  /><label for='choice_137_3'>Others (Please contact me.)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1516_138' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_138'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_138' id='input_1516_138' type='text' value='' class='medium'  tabindex='55'  /></div></li><li id='field_1516_142' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1516_30' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Emergency Contact Information </h2></li><li id='field_1516_31' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_31.3'>Name</label><div class='ginput_complex ginput_container' id='input_1516_31'><span id='input_1516_31_3_container' class='ginput_left'><input type='text' name='input_31.3' id='input_1516_31_3' value='' tabindex='56' /><label for='input_1516_31_3'>First</label></span><span id='input_1516_31_6_container' class='ginput_right'><input type='text' name='input_31.6' id='input_1516_31_6' value='' tabindex='57' /><label for='input_1516_31_6'>Last</label></span></div></li><li id='field_1516_32' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_32'>Phone (1)</label><div class='ginput_container'><input name='input_32' id='input_1516_32' type='text' value='' class='medium' tabindex='58' /></div></li><li id='field_1516_33' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_33'>Phone (2)</label><div class='ginput_container'><input name='input_33' id='input_1516_33' type='text' value='' class='medium' tabindex='59' /></div></li><li id='field_1516_34' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_34'>Relationship to Passenger</label><div class='ginput_container'><input name='input_34' id='input_1516_34' type='text' value='' class='medium'  tabindex='60'  /></div></li><li id='field_1516_163' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1516_160' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>If signing up more than 2 passengers please include their name and date of birth in the additional comments field located at the bottom of the form.</h2></li><li id='field_1516_162' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1516_38' class='gfield  gsection' ><h2 class='gsection_title'>Purchasing Options</h2><div class='gsection_description'>In order to register and save your place on the trip, a $500 non-refundable deposit is required per passenger. Payment in full must be received at 857 West Boylston St. Worcester, MA 01606, 90 days prior to trip date.</div></li><li id='field_1516_116' class='gfield           gfield_price gfield_price_1516_116 gfield_product_1516_116' ><label class='gfield_label' for='input_1516_116'>Deposit</label><div class='ginput_container'><input type='hidden' name='input_116.1' value='Deposit' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1516_116'>$500.00</span><input type='hidden' name='input_116.2' id='ginput_base_price_1516_116' class='gform_hidden' value='$500.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_116.3' value='' id='ginput_quantity_1516_116' class='ginput_quantity' size='10' tabindex='61'/></div><div class='gfield_description'>There is NO 3% surcharge on this option. DO NOT Choose this option if paying the Total Trip Price.</div></li><li id='field_1516_117' class='gfield           gfield_price gfield_price_1516_117 gfield_product_1516_117' ><label class='gfield_label' for='input_1516_117'>Travel Cancellation Protection</label><div class='ginput_container'><input type='hidden' name='input_117.1' value='Travel Cancellation Protection' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1516_117'>$200.00</span><input type='hidden' name='input_117.2' id='ginput_base_price_1516_117' class='gform_hidden' value='$200.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_117.3' value='' id='ginput_quantity_1516_117' class='ginput_quantity' size='10' tabindex='62'/></div><div class='gfield_description'>There is NO 3% surcharge on this option.</div></li><li id='field_1516_115' class='gfield           gfield_price gfield_price_1516_115 gfield_product_1516_115' ><label class='gfield_label' for='input_1516_115'>Single Supplement</label><div class='ginput_container'><input type='hidden' name='input_115.1' value='Single Supplement' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1516_115'>$700.00</span><input type='hidden' name='input_115.2' id='ginput_base_price_1516_115' class='gform_hidden' value='$700.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_115.3' value='' id='ginput_quantity_1516_115' class='ginput_quantity' size='10' tabindex='63'/></div><div class='gfield_description'>If you are traveling by yourself and prefer your own room.
There is NO 3% surcharge on this option.</div></li><li id='field_1516_119' class='gfield           gfield_price gfield_price_1516_119 gfield_product_1516_119' ><label class='gfield_label' for='input_1516_119'>*Total Trip Price</label><div class='ginput_container'><input type='hidden' name='input_119.1' value='*Total Trip Price' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1516_119'>$3,691.97</span><input type='hidden' name='input_119.2' id='ginput_base_price_1516_119' class='gform_hidden' value='$3,691.97'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_119.3' value='' id='ginput_quantity_1516_119' class='ginput_quantity' size='10' tabindex='64'/></div><div class='gfield_description'>* This option includes the $500 deposit.
There is NO 3% surcharge on your deposit or travel cancellation protection if payment is made by credit/debit card.  There is a 3% surcharge if you pay your remaining balance with a credit/debit card.  For this trip, the credit/debit surcharge is $92.97.</div></li><li id='field_1516_96' class='gfield            gfield_price gfield_price_1516_96 gfield_donation_1516_96' ><label class='gfield_label' for='input_1516_96'>Custom Amount</label><div class='ginput_container'><input name='input_96' id='input_1516_96' type='text' value='' class='medium' tabindex='65' /></div></li><li id='field_1516_46' class='gfield' ><label class='gfield_label' for='input_1516_46'>Total</label><div class='ginput_container'><span class='ginput_total ginput_total_1516'>$0.00</span><input type='hidden' name='input_46' id='input_1516_46' class='gform_hidden'/></div></li><li id='field_1516_108' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1516_73' class='gfield  gsection' ><h2 class='gsection_title'>Payment Information</h2></li><li id='field_1516_79' class='gfield' ><label class='gfield_label' for='input_1516_79'>Payment Type</label><div class='ginput_container'><select name='input_79' id='input_1516_79' onchange='gf_apply_rules(1516,[97,98,99,100,101]);' class='medium gfield_select' tabindex='66' ><option value='Credit Card or Debit Card' >Credit Card or Debit Card</option><option value='Money Order' >Money Order</option><option value='Cash' >Cash</option><option value='Check' >Check</option></select></div></li><li id='field_1516_97' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_97'>Name On Card</label><div class='ginput_container'><input name='input_97' id='input_1516_97' type='text' value='' class='medium'  tabindex='67'  /></div></li><li id='field_1516_98' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_98'>Credit Card or Debit Card Number</label><div class='ginput_container'><input name='input_98' id='input_1516_98' type='text' value='' class='medium' tabindex='68' /></div></li><li id='field_1516_99' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_99'>CVV</label><div class='ginput_container'><input name='input_99' id='input_1516_99' type='text' value='' class='small' tabindex='69' /></div></li><li id='field_1516_100' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_100'>Expiration Month</label><div class='ginput_container'><select name='input_100' id='input_1516_100'  class='small gfield_select' tabindex='70' ><option value='01' >January</option><option value='02' >February</option><option value='03' >March</option><option value='04' >April</option><option value='05' >May</option><option value='06' >June</option><option value='07' >July</option><option value='08' >August</option><option value='09' >September</option><option value='10' >October</option><option value='11' >November</option><option value='12' >December</option></select></div></li><li id='field_1516_101' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_101'>Expiration Year</label><div class='ginput_container'><select name='input_101' id='input_1516_101'  class='small gfield_select' tabindex='71' ><option value='12' >2012</option><option value='13' >2013</option><option value='14' >2014</option><option value='15' >2015</option><option value='16' >2016</option><option value='17' >2017</option><option value='18' >2018</option><option value='19' >2019</option><option value='20' >2020</option><option value='21' >2021</option><option value='22' >2022</option><option value='23' >2023</option><option value='24' >2024</option><option value='25' >2025</option></select></div></li><li id='field_1516_103' class='gfield' ><label class='gfield_label'>Check if Billing Address and Mailing Address are the same.</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1516_103'><li class='gchoice_103_1'><input name='input_103.1' type='checkbox' onclick='gf_apply_rules(1516,[77]);' value='Same'  id='choice_103_1' tabindex='72'  /><label for='choice_103_1'>Same</label></li></ul></div></li><li id='field_1516_77' class='gfield' ><label class='gfield_label' for='input_1516_77_1'>Billing Address (If different from above)</label><div class='ginput_complex ginput_container' id='input_1516_77'><span class='ginput_full' id='input_1516_77_1_container'><input type='text' name='input_77.1' id='input_1516_77_1' value='' tabindex='73' /><label for='input_1516_77_1' id='input_1516_77_1_label'>Street Address</label></span><span class='ginput_full' id='input_1516_77_2_container' ><input type='text' name='input_77.2' id='input_1516_77_2' value='' tabindex='74' /><label for='input_1516_77_2' id='input_1516_77_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1516_77_3_container'><input type='text' name='input_77.3' id='input_1516_77_3' value='' tabindex='75' /><label for='input_1516_77_3' id='input_1516_77.3_label'>City</label></span><span class='ginput_right' id='input_1516_77_4_container' ><select name='input_77.4' id='input_1516_77.4' tabindex='76'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1516_77.4' id='input_1516_77_4_label'>State</label></span><span class='ginput_left' id='input_1516_77_5_container'><input type='text' name='input_77.5' id='input_1516_77_5' value='' tabindex='78' /><label for='input_1516_77_5' id='input_1516_77_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_77.6' id='input_1516_77_6' value='United States'/></div></li><li id='field_1516_109' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1516_112' class='gfield  gsection' ><h2 class='gsection_title'>Miscellaneous</h2></li><li id='field_1516_86' class='gfield' ><label class='gfield_label' for='input_1516_86'>Additional Comments</label><div class='ginput_container'><textarea name='input_86' id='input_1516_86' class='textarea medium' tabindex='79'  rows='10' cols='50'></textarea></div></li><li id='field_1516_69' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1516_67' class='gfield' ><label class='gfield_label' for='input_1516_67'>How did you hear about Proximo Travel?</label><div class='ginput_container'><input name='input_67' id='input_1516_67' type='text' value='' class='large'  tabindex='80'  /></div></li><li id='field_1516_102' class='gfield     gform_hidden' ><input name='input_102' id='input_1516_102' type='hidden' class='gform_hidden' value='' /></li>
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		<item>
		<title>Fr. Montgomery, PhD, William &#8211; Church of the Assumption of the Blessed Virgin Mary, Washington, DC &#8211; HL (2013, April 01 &#8211; 11)</title>
		<link>http://www.proximotravel.com/priest-trip/fr-montgomery-phd-william-church-of-the-assumption-of-the-blessed-virgin-mary-wshington-dc-hl-2013-april-01-11/</link>
		<comments>http://www.proximotravel.com/priest-trip/fr-montgomery-phd-william-church-of-the-assumption-of-the-blessed-virgin-mary-wshington-dc-hl-2013-april-01-11/#comments</comments>
		<pubDate>Fri, 18 May 2012 14:38:33 +0000</pubDate>
		<dc:creator>Lynne</dc:creator>
				<category><![CDATA[Holy Land - Priest Trips]]></category>
		<category><![CDATA[Priest Trips]]></category>

		<guid isPermaLink="false">http://www.proximotravel.com/?p=9738</guid>
		<description><![CDATA[Jerusalem • Bethlehem • Nazareth • Galilee • Via Crucis • Last Supper • Gethsemane • Dormition • Nativity Church • Capernaum Fr. William Montgomery, PhD, Pastor Church of the Assumption of the Blessed Virgin Mary, Washington, DC Dates 2013 April 01 &#8211; 11 $3,999 11 Days Airfare Included &#160; &#160;]]></description>
			<content:encoded><![CDATA[<h3 style="text-align: center;">Jerusalem • Bethlehem • Nazareth • Galilee • Via Crucis • Last Supper • Gethsemane • Dormition • Nativity Church • Capernaum</h3>
<hr />
<h2>Fr. William Montgomery, PhD, Pastor<br />
Church of the Assumption of the Blessed Virgin Mary, Washington, DC</h2>
<h2>Dates 2013</h2>
<ul>
<li>April 01 &#8211; 11</li>
<li>$3,999 11 Days</li>
<li>Airfare Included</li>
</ul>
<p>&nbsp;</p>

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type='text' value='' class='medium' tabindex='15' /></div></li><li id='field_1514_14' class='gfield' ><label class='gfield_label' for='input_1514_14'>Email Address</label><div class='ginput_container'><input name='input_14' id='input_1514_14' type='text' value='' class='medium'  tabindex='16'  /></div></li><li id='field_1514_18' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_18'>Date of Birth<span class='gfield_required'>*</span></label><div class='clear-multi'><div class='gfield_date_month ginput_container' id='input_1514_18'><input type='text' maxlength='2' name='input_18[]' id='input_1514_18.1' value='' tabindex='17' /><label for='input_1514_18.1'>MM</label></div><div class='gfield_date_day ginput_container' id='input_1514_18'><input type='text' maxlength='2' name='input_18[]' id='input_1514_18.2' value='' tabindex='18' /><label for='input_1514_18.2'>DD</label></div><div class='gfield_date_year ginput_container' id='input_1514_18'><input type='text' maxlength='4' name='input_18[]' id='input_1514_18.3' value='' tabindex='19' /><label for='input_1514_18.3'>YYYY</label></div></div></li><li id='field_1514_20' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_20'>Gender<span class='gfield_required'>*</span></label><div class='ginput_container'><select name='input_20' id='input_1514_20'  class='medium gfield_select' tabindex='20' ><option value='' selected='selected'>Select one...</option><option value='Male' >Male</option><option value='Female' >Female</option></select></div></li><li id='field_1514_54' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_24' class='gfield  gsection' ><h2 class='gsection_title'>Passenger  #1: Emergency Contact Information</h2></li><li id='field_1514_26' class='gfield' ><label class='gfield_label' for='input_1514_26.3'>Name</label><div class='ginput_complex ginput_container' id='input_1514_26'><span id='input_1514_26_3_container' class='ginput_left'><input type='text' name='input_26.3' id='input_1514_26_3' value='' tabindex='21' /><label for='input_1514_26_3'>First</label></span><span id='input_1514_26_6_container' class='ginput_right'><input type='text' name='input_26.6' id='input_1514_26_6' value='' tabindex='22' /><label for='input_1514_26_6'>Last</label></span></div></li><li id='field_1514_27' class='gfield' ><label class='gfield_label' for='input_1514_27'>Phone (1)</label><div class='ginput_container'><input name='input_27' id='input_1514_27' type='text' value='' class='medium' tabindex='23' /></div></li><li id='field_1514_28' class='gfield' ><label class='gfield_label' for='input_1514_28'>Phone (2)</label><div class='ginput_container'><input name='input_28' id='input_1514_28' type='text' value='' class='medium' tabindex='24' /></div></li><li id='field_1514_29' class='gfield' ><label class='gfield_label' for='input_1514_29'>Relationship to Passenger</label><div class='ginput_container'><input name='input_29' id='input_1514_29' type='text' value='' class='medium'  tabindex='25'  /></div></li><li id='field_1514_49' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_21' class='gfield  gsection' ><h2 class='gsection_title'>Special Trip Details and Requests</h2></li><li id='field_1514_22' class='gfield' ><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1514_22'><li class='gchoice_22_1'><input name='input_22.1' type='checkbox'  value='*Special dietary concerns / requests'  id='choice_22_1' tabindex='26'  /><label for='choice_22_1'>*Special dietary concerns / requests</label></li><li class='gchoice_22_2'><input name='input_22.2' type='checkbox'  value='Wheelchair requirement'  id='choice_22_2' tabindex='27'  /><label for='choice_22_2'>Wheelchair requirement</label></li><li class='gchoice_22_3'><input name='input_22.3' type='checkbox'  value='Others (please contact me)'  id='choice_22_3' tabindex='28'  /><label for='choice_22_3'>Others (please contact me)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1514_145' class='gfield' ><label class='gfield_label' for='input_1514_145'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_145' id='input_1514_145' type='text' value='' class='medium'  tabindex='29'  /></div></li><li id='field_1514_25' class='gfield' ><label class='gfield_label' for='input_1514_25'>I would like to travel and/or room with these people:</label><div class='ginput_container'><textarea name='input_25' id='input_1514_25' class='textarea small' tabindex='30'  rows='10' cols='50'></textarea></div></li><li id='field_1514_126' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_150' class='gfield' ><label class='gfield_label'>Registering an additional passenger?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1514_150'><li class='gchoice_150_1'><input name='input_150.1' type='checkbox' onclick='gf_apply_rules(1514,[153,153,143,136,143,136,129,129,154,155,156,157,158,139,154,155,156,157,158,139,128,128,122,124,125,123,151,133,141,122,124,125,123,151,133,141,135,135,137,138,142,137,138,142,30,30,31,32,33,34,31,32,33,34,160,160,162,162]);' value='Yes'  id='choice_150_1' tabindex='31'  /><label for='choice_150_1'>Yes</label></li></ul></div></li><li id='field_1514_127' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_153' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2 Flight Request</h2></li><li id='field_1514_143' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_143'>Passenger #2: Departure Airport</label><div class='ginput_container'><input name='input_143' id='input_1514_143' type='text' value='' class='medium'  tabindex='32'  /></div><div class='gfield_description'>Please include the airport that you would like to depart from</div></li><li id='field_1514_136' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_136'>Seat Preferences</label><div class='ginput_container'><select name='input_136' id='input_1514_136'  class='medium gfield_select' tabindex='33' ><option value='No Preference' >No Preference</option><option value='Window Seat' >Window Seat</option><option value='Middle Seat' >Middle Seat</option><option value='Aisle Seat' >Aisle Seat</option><option value='No Preference' >No Preference</option></select></div></li><li id='field_1514_159' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div>
</li><li id='field_1514_129' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Name Information</h2></li><li id='field_1514_154' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_154'>Prefix</label><div class='ginput_container'><input name='input_154' id='input_1514_154' type='text' value='' class='medium'  tabindex='34'  /></div></li><li id='field_1514_155' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_155'>First Name </label><div class='ginput_container'><input name='input_155' id='input_1514_155' type='text' value='' class='medium'  tabindex='35'  /></div></li><li id='field_1514_156' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_156'>Middle Name or Initial (As it appears on passport)</label><div class='ginput_container'><input name='input_156' id='input_1514_156' type='text' value='' class='medium'  tabindex='36'  /></div></li><li id='field_1514_157' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_157'>Last Name</label><div class='ginput_container'><input name='input_157' id='input_1514_157' type='text' value='' class='medium'  tabindex='37'  /></div></li><li id='field_1514_158' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_158'>Suffix</label><div class='ginput_container'><input name='input_158' id='input_1514_158' type='text' value='' class='medium'  tabindex='38'  /></div></li><li id='field_1514_139' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_128' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Contact Information (If different from Passenger #1)</h2></li><li id='field_1514_122' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_122_1'>Passenger #2: Address</label><div class='ginput_complex ginput_container' id='input_1514_122'><span class='ginput_full' id='input_1514_122_1_container'><input type='text' name='input_122.1' id='input_1514_122_1' value='' tabindex='39' /><label for='input_1514_122_1' id='input_1514_122_1_label'>Street Address</label></span><span class='ginput_full' id='input_1514_122_2_container' ><input type='text' name='input_122.2' id='input_1514_122_2' value='' tabindex='40' /><label for='input_1514_122_2' id='input_1514_122_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1514_122_3_container'><input type='text' name='input_122.3' id='input_1514_122_3' value='' tabindex='41' /><label for='input_1514_122_3' id='input_1514_122.3_label'>City</label></span><span class='ginput_right' id='input_1514_122_4_container' ><select name='input_122.4' id='input_1514_122.4' tabindex='42'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1514_122.4' id='input_1514_122_4_label'>State</label></span><span class='ginput_left' id='input_1514_122_5_container'><input type='text' name='input_122.5' id='input_1514_122_5' value='' tabindex='44' /><label for='input_1514_122_5' id='input_1514_122_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_122.6' id='input_1514_122_6' value='United States'/></div></li><li id='field_1514_124' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_124'>Passenger #2: Phone (1)</label><div class='ginput_container'><input name='input_124' id='input_1514_124' type='text' value='' class='medium' tabindex='45' /></div></li><li id='field_1514_125' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_125'>Passenger #2: Phone (2)</label><div class='ginput_container'><input name='input_125' id='input_1514_125' type='text' value='' class='medium' tabindex='46' /></div></li><li id='field_1514_123' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_123'>Passenger #2: Email Address</label><div class='ginput_container'><input name='input_123' id='input_1514_123' type='text' value='' class='medium'  tabindex='47'  /></div></li><li id='field_1514_151' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_151'>Date of Birth</label><div class='clear-multi'><div class='gfield_date_month ginput_container' id='input_1514_151'><input type='text' maxlength='2' name='input_151[]' id='input_1514_151.1' value='' tabindex='48' /><label for='input_1514_151.1'>MM</label></div><div class='gfield_date_day ginput_container' id='input_1514_151'><input type='text' maxlength='2' name='input_151[]' id='input_1514_151.2' value='' tabindex='49' /><label for='input_1514_151.2'>DD</label></div><div class='gfield_date_year ginput_container' id='input_1514_151'><input type='text' maxlength='4' name='input_151[]' id='input_1514_151.3' value='' tabindex='50' /><label for='input_1514_151.3'>YYYY</label></div></div></li><li id='field_1514_133' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_133'>Gender</label><div class='ginput_container'><select name='input_133' id='input_1514_133'  class='small gfield_select' tabindex='51' ><option value='Please select ...' >Please select ...</option><option value='Male' >Male</option><option value='Female' >Female</option></select></div></li><li id='field_1514_141' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_135' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Special Trip Details &amp; Requests</h2></li><li id='field_1514_137' class='gfield' style='display:none;'><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1514_137'><li class='gchoice_137_1'><input name='input_137.1' type='checkbox'  value='*Special dietary concerns/requests'  id='choice_137_1' tabindex='52'  /><label for='choice_137_1'>*Special dietary concerns/requests</label></li><li class='gchoice_137_2'><input name='input_137.2' type='checkbox'  value='Wheelchair requirements'  id='choice_137_2' tabindex='53'  /><label for='choice_137_2'>Wheelchair requirements</label></li><li class='gchoice_137_3'><input name='input_137.3' type='checkbox'  value='Others (Please contact me.)'  id='choice_137_3' tabindex='54'  /><label for='choice_137_3'>Others (Please contact me.)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1514_138' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_138'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_138' id='input_1514_138' type='text' value='' class='medium'  tabindex='55'  /></div></li><li id='field_1514_142' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_30' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Emergency Contact Information </h2></li><li id='field_1514_31' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_31.3'>Name</label><div class='ginput_complex ginput_container' id='input_1514_31'><span id='input_1514_31_3_container' class='ginput_left'><input type='text' name='input_31.3' id='input_1514_31_3' value='' tabindex='56' /><label for='input_1514_31_3'>First</label></span><span id='input_1514_31_6_container' class='ginput_right'><input type='text' name='input_31.6' id='input_1514_31_6' value='' tabindex='57' /><label for='input_1514_31_6'>Last</label></span></div></li><li id='field_1514_32' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_32'>Phone (1)</label><div class='ginput_container'><input name='input_32' id='input_1514_32' type='text' value='' class='medium' tabindex='58' /></div></li><li id='field_1514_33' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_33'>Phone (2)</label><div class='ginput_container'><input name='input_33' id='input_1514_33' type='text' value='' class='medium' tabindex='59' /></div></li><li id='field_1514_34' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_34'>Relationship to Passenger</label><div class='ginput_container'><input name='input_34' id='input_1514_34' type='text' value='' class='medium'  tabindex='60'  /></div></li><li id='field_1514_163' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_160' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>If signing up more then 2 passengers please include their name and date of birth in the additional comments field located at the bottom of the form.</h2></li><li id='field_1514_162' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_38' class='gfield  gsection' ><h2 class='gsection_title'>Purchasing Options</h2><div class='gsection_description'>In order to register and save your place on the trip, a $500 non-refundable deposit is required per passenger. Payment in full must be received at 857 West Boylston St. Worcester, MA 01606, 90 days prior to trip date.</div></li><li id='field_1514_116' class='gfield           gfield_price gfield_price_1514_116 gfield_product_1514_116' ><label class='gfield_label' for='input_1514_116'>Deposit</label><div class='ginput_container'><input type='hidden' name='input_116.1' value='Deposit' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1514_116'>$500.00</span><input type='hidden' name='input_116.2' id='ginput_base_price_1514_116' class='gform_hidden' value='$500.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_116.3' value='' id='ginput_quantity_1514_116' class='ginput_quantity' size='10' tabindex='61'/></div><div class='gfield_description'>There is NO 3% surcharge on this option. DO NOT Choose this option if paying the Total Trip Price.</div></li><li id='field_1514_117' class='gfield           gfield_price gfield_price_1514_117 gfield_product_1514_117' ><label class='gfield_label' for='input_1514_117'>Travel Cancellation Protection</label><div class='ginput_container'><input type='hidden' name='input_117.1' value='Travel Cancellation Protection' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1514_117'>$200.00</span><input type='hidden' name='input_117.2' id='ginput_base_price_1514_117' class='gform_hidden' value='$200.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_117.3' value='' id='ginput_quantity_1514_117' class='ginput_quantity' size='10' tabindex='62'/></div><div class='gfield_description'>There is NO 3% surcharge on this option.</div></li><li id='field_1514_115' class='gfield           gfield_price gfield_price_1514_115 gfield_product_1514_115' ><label class='gfield_label' for='input_1514_115'>Single Supplement</label><div class='ginput_container'><input type='hidden' name='input_115.1' value='Single Supplement' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1514_115'>$700.00</span><input type='hidden' name='input_115.2' id='ginput_base_price_1514_115' class='gform_hidden' value='$700.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_115.3' value='' id='ginput_quantity_1514_115' class='ginput_quantity' size='10' tabindex='63'/></div><div class='gfield_description'>If you are traveling by yourself and prefer your own room.
There is NO 3% surcharge on this option.</div></li><li id='field_1514_119' class='gfield           gfield_price gfield_price_1514_119 gfield_product_1514_119' ><label class='gfield_label' for='input_1514_119'>*Total Trip Price</label><div class='ginput_container'><input type='hidden' name='input_119.1' value='*Total Trip Price' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1514_119'>$4,103.97</span><input type='hidden' name='input_119.2' id='ginput_base_price_1514_119' class='gform_hidden' value='$4,103.97'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_119.3' value='' id='ginput_quantity_1514_119' class='ginput_quantity' size='10' tabindex='64'/></div><div class='gfield_description'>* This option includes the $500 deposit.
There is NO 3% surcharge on your deposit or travel cancellation protection if payment is made by credit/debit card.  There is a 3% surcharge if you pay your remaining balance with a credit/debit card.  For this trip, the credit/debit surcharge is $104.97.</div></li><li id='field_1514_96' class='gfield            gfield_price gfield_price_1514_96 gfield_donation_1514_96' ><label class='gfield_label' for='input_1514_96'>Custom Amount</label><div class='ginput_container'><input name='input_96' id='input_1514_96' type='text' value='' class='medium' tabindex='65' /></div></li><li id='field_1514_46' class='gfield' ><label class='gfield_label' for='input_1514_46'>Total</label><div class='ginput_container'><span class='ginput_total ginput_total_1514'>$0.00</span><input type='hidden' name='input_46' id='input_1514_46' class='gform_hidden'/></div></li><li id='field_1514_108' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_73' class='gfield  gsection' ><h2 class='gsection_title'>Payment Information</h2></li><li id='field_1514_79' class='gfield' ><label class='gfield_label' for='input_1514_79'>Payment 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			<wfw:commentRss>http://www.proximotravel.com/priest-trip/fr-montgomery-phd-william-church-of-the-assumption-of-the-blessed-virgin-mary-wshington-dc-hl-2013-april-01-11/feed/</wfw:commentRss>
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		</item>
		<item>
		<title>Fr. Kline, Edmond A. &#8211; St. Paul Catholic Church, Lyons, KS; Holy Trinity Catholic Church, Little River, KS; Holy Name of Jesus Parish, Bushton, KS &#8211; LFM (2013, April 29 &#8211; May 10)</title>
		<link>http://www.proximotravel.com/priest-trip/fr-kline-edmond-a-st-paul-catholic-church-lyons-ks-holy-trinity-catholic-church-little-river-ks-holy-name-of-jesus-parish-bushton-ks-lfm-2013-april-29-may-10/</link>
		<comments>http://www.proximotravel.com/priest-trip/fr-kline-edmond-a-st-paul-catholic-church-lyons-ks-holy-trinity-catholic-church-little-river-ks-holy-name-of-jesus-parish-bushton-ks-lfm-2013-april-29-may-10/#comments</comments>
		<pubDate>Thu, 17 May 2012 16:21:29 +0000</pubDate>
		<dc:creator>Lynne</dc:creator>
				<category><![CDATA[Medjugorje, Lourdes, Fatima - Priest Trips]]></category>
		<category><![CDATA[Priest Trips]]></category>

		<guid isPermaLink="false">http://www.proximotravel.com/?p=9735</guid>
		<description><![CDATA[Medjugorje • Lourdes • Lisbon • Santarem • Fatima Fr. Edmond A. Kline St. Paul Catholic Church, Lyons, KS Holy Trinity Catholic Church, Little River, KS Holy Name of Jesus Parish, Bushton, KS Dates 2013 April 29 &#8211; May 10 $3,999 12 Days Airfare Included]]></description>
			<content:encoded><![CDATA[<h3 style="text-align: center;">Medjugorje • Lourdes • Lisbon • Santarem • Fatima</h3>
<hr />
<h2>Fr. Edmond A. Kline<br />
St. Paul Catholic Church, Lyons, KS<br />
Holy Trinity Catholic Church, Little River, KS<br />
Holy Name of Jesus Parish, Bushton, KS</h2>
<h3>Dates 2013</h3>
<ul>
<li>April 29 &#8211; May 10</li>
<li>$3,999 12 Days</li>
<li>Airfare Included</li>
</ul>

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                            <ul id='gform_fields_1514' class='gform_fields top_label'><li id='field_1514_50' class='gfield     gform_hidden' ><input name='input_50' id='input_1514_50' type='hidden' class='gform_hidden' value='Fr. Kline, Edmond A. - St. Paul Catholic Church, Lyons, KS; Holy Trinity Catholic Church, Little River, KS; Holy Name of Jesus Parish, Bushton, KS - LFM (2013, April 29 - May 10)' /></li><li id='field_1514_55' class='gfield     gform_hidden' ><input name='input_55' id='input_1514_55' type='hidden' class='gform_hidden' value='05/20/2012' /></li><li id='field_1514_152' class='gfield  gsection' ><h2 class='gsection_title'>Passenger #1 Flight Request</h2></li><li id='field_1514_60' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_60'>Departure Airport<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_60' id='input_1514_60' type='text' value='' class='medium'  tabindex='1'  /></div><div class='gfield_description'>Please include the airport that you would like to depart from</div></li><li id='field_1514_85' class='gfield' ><label class='gfield_label' for='input_1514_85'>Seating Preference</label><div class='ginput_container'><select name='input_85' id='input_1514_85'  class='medium gfield_select' tabindex='2' ><option value='No Preference' >No Preference</option><option value='Window Seat' >Window Seat</option><option value='Middle Seat' >Middle Seat</option><option value='Aisle Seat' >Aisle Seat</option><option value='No Preference' >No Preference</option></select></div></li><li id='field_1514_161' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_23' class='gfield  gsection' ><h2 class='gsection_title'> Passenger #1: Name Information</h2></li><li id='field_1514_2' class='gfield' ><label class='gfield_label' for='input_1514_2'>Prefix</label><div class='ginput_container'><select name='input_2' id='input_1514_2'  class='medium gfield_select' tabindex='3' ><option value='Please select one...' >Please select one...</option><option value='Msgr.' >Msgr.</option><option value='Fr.' >Fr.</option><option value='Dr.' >Dr.</option><option value='Mr.' >Mr.</option><option value='Mrs.' >Mrs.</option><option value='Ms.' >Ms.</option></select></div></li><li id='field_1514_1' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_1'>First Name<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_1' id='input_1514_1' type='text' value='' class='medium'  tabindex='4'  /></div></li><li id='field_1514_4' class='gfield' ><label class='gfield_label' for='input_1514_4'>Middle Name or Initial (As it appears on passport)</label><div class='ginput_container'><input name='input_4' id='input_1514_4' type='text' value='' class='medium'  tabindex='5'  /></div></li><li id='field_1514_3' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_3'>Last Name<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_3' id='input_1514_3' type='text' value='' class='medium'  tabindex='6'  /></div></li><li id='field_1514_5' class='gfield' ><label class='gfield_label' for='input_1514_5'>Suffix</label><div class='ginput_container'><input name='input_5' id='input_1514_5' type='text' value='' class='medium'  tabindex='7'  /></div></li><li id='field_1514_52' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_7' class='gfield  gsection' ><h2 class='gsection_title'>Passenger #1: Contact Information</h2></li><li id='field_1514_15' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_15_1'>Address Information<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_1514_15'><span class='ginput_full' id='input_1514_15_1_container'><input type='text' name='input_15.1' id='input_1514_15_1' value='' tabindex='8' /><label for='input_1514_15_1' id='input_1514_15_1_label'>Street Address</label></span><span class='ginput_full' id='input_1514_15_2_container' ><input type='text' name='input_15.2' id='input_1514_15_2' value='' tabindex='9' /><label for='input_1514_15_2' id='input_1514_15_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1514_15_3_container'><input type='text' name='input_15.3' id='input_1514_15_3' value='' tabindex='10' /><label for='input_1514_15_3' id='input_1514_15.3_label'>City</label></span><span class='ginput_right' id='input_1514_15_4_container' ><select name='input_15.4' id='input_1514_15.4' tabindex='11'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1514_15.4' id='input_1514_15_4_label'>State</label></span><span class='ginput_left' id='input_1514_15_5_container'><input type='text' name='input_15.5' id='input_1514_15_5' value='' tabindex='13' /><label for='input_1514_15_5' id='input_1514_15_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_15.6' id='input_1514_15_6' value='United States'/></div></li><li id='field_1514_16' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_16'>Phone (1)<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_16' id='input_1514_16' type='text' value='' class='medium' tabindex='14' /></div></li><li id='field_1514_17' class='gfield' ><label class='gfield_label' for='input_1514_17'>Phone (2)</label><div class='ginput_container'><input name='input_17' id='input_1514_17' type='text' value='' class='medium' tabindex='15' /></div></li><li id='field_1514_14' class='gfield' ><label class='gfield_label' for='input_1514_14'>Email Address</label><div class='ginput_container'><input name='input_14' id='input_1514_14' type='text' value='' class='medium'  tabindex='16'  /></div></li><li id='field_1514_18' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_18'>Date of Birth<span class='gfield_required'>*</span></label><div class='clear-multi'><div class='gfield_date_month ginput_container' id='input_1514_18'><input type='text' maxlength='2' name='input_18[]' id='input_1514_18.1' value='' tabindex='17' /><label for='input_1514_18.1'>MM</label></div><div class='gfield_date_day ginput_container' id='input_1514_18'><input type='text' maxlength='2' name='input_18[]' id='input_1514_18.2' value='' tabindex='18' /><label for='input_1514_18.2'>DD</label></div><div class='gfield_date_year ginput_container' id='input_1514_18'><input type='text' maxlength='4' name='input_18[]' id='input_1514_18.3' value='' tabindex='19' /><label for='input_1514_18.3'>YYYY</label></div></div></li><li id='field_1514_20' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_20'>Gender<span class='gfield_required'>*</span></label><div class='ginput_container'><select name='input_20' id='input_1514_20'  class='medium gfield_select' tabindex='20' ><option value='' selected='selected'>Select one...</option><option value='Male' >Male</option><option value='Female' >Female</option></select></div></li><li id='field_1514_54' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_24' class='gfield  gsection' ><h2 class='gsection_title'>Passenger  #1: Emergency Contact Information</h2></li><li id='field_1514_26' class='gfield' ><label class='gfield_label' for='input_1514_26.3'>Name</label><div class='ginput_complex ginput_container' id='input_1514_26'><span id='input_1514_26_3_container' class='ginput_left'><input type='text' name='input_26.3' id='input_1514_26_3' value='' tabindex='21' /><label for='input_1514_26_3'>First</label></span><span id='input_1514_26_6_container' class='ginput_right'><input type='text' name='input_26.6' id='input_1514_26_6' value='' tabindex='22' /><label for='input_1514_26_6'>Last</label></span></div></li><li id='field_1514_27' class='gfield' ><label class='gfield_label' for='input_1514_27'>Phone (1)</label><div class='ginput_container'><input name='input_27' id='input_1514_27' type='text' value='' class='medium' tabindex='23' /></div></li><li id='field_1514_28' class='gfield' ><label class='gfield_label' for='input_1514_28'>Phone (2)</label><div class='ginput_container'><input name='input_28' id='input_1514_28' type='text' value='' class='medium' tabindex='24' /></div></li><li id='field_1514_29' class='gfield' ><label class='gfield_label' for='input_1514_29'>Relationship to Passenger</label><div class='ginput_container'><input name='input_29' id='input_1514_29' type='text' value='' class='medium'  tabindex='25'  /></div></li><li id='field_1514_49' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_21' class='gfield  gsection' ><h2 class='gsection_title'>Special Trip Details and Requests</h2></li><li id='field_1514_22' class='gfield' ><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1514_22'><li class='gchoice_22_1'><input name='input_22.1' type='checkbox'  value='*Special dietary concerns / requests'  id='choice_22_1' tabindex='26'  /><label for='choice_22_1'>*Special dietary concerns / requests</label></li><li class='gchoice_22_2'><input name='input_22.2' type='checkbox'  value='Wheelchair requirement'  id='choice_22_2' tabindex='27'  /><label for='choice_22_2'>Wheelchair requirement</label></li><li class='gchoice_22_3'><input name='input_22.3' type='checkbox'  value='Others (please contact me)'  id='choice_22_3' tabindex='28'  /><label for='choice_22_3'>Others (please contact me)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1514_145' class='gfield' ><label class='gfield_label' for='input_1514_145'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_145' id='input_1514_145' type='text' value='' class='medium'  tabindex='29'  /></div></li><li id='field_1514_25' class='gfield' ><label class='gfield_label' for='input_1514_25'>I would like to travel and/or room with these people:</label><div class='ginput_container'><textarea name='input_25' id='input_1514_25' class='textarea small' tabindex='30'  rows='10' cols='50'></textarea></div></li><li id='field_1514_126' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_150' class='gfield' ><label class='gfield_label'>Registering an additional passenger?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1514_150'><li class='gchoice_150_1'><input name='input_150.1' type='checkbox' onclick='gf_apply_rules(1514,[153,153,143,136,143,136,129,129,154,155,156,157,158,139,154,155,156,157,158,139,128,128,122,124,125,123,151,133,141,122,124,125,123,151,133,141,135,135,137,138,142,137,138,142,30,30,31,32,33,34,31,32,33,34,160,160,162,162]);' value='Yes'  id='choice_150_1' tabindex='31'  /><label for='choice_150_1'>Yes</label></li></ul></div></li><li id='field_1514_127' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_153' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2 Flight Request</h2></li><li id='field_1514_143' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_143'>Passenger #2: Departure Airport</label><div class='ginput_container'><input name='input_143' id='input_1514_143' type='text' value='' class='medium'  tabindex='32'  /></div><div class='gfield_description'>Please include the airport that you would like to depart from</div></li><li id='field_1514_136' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_136'>Seat Preferences</label><div class='ginput_container'><select name='input_136' id='input_1514_136'  class='medium gfield_select' tabindex='33' ><option value='No Preference' >No Preference</option><option value='Window Seat' >Window Seat</option><option value='Middle Seat' >Middle Seat</option><option value='Aisle Seat' >Aisle Seat</option><option value='No Preference' >No Preference</option></select></div></li><li id='field_1514_159' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div>
</li><li id='field_1514_129' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Name Information</h2></li><li id='field_1514_154' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_154'>Prefix</label><div class='ginput_container'><input name='input_154' id='input_1514_154' type='text' value='' class='medium'  tabindex='34'  /></div></li><li id='field_1514_155' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_155'>First Name </label><div class='ginput_container'><input name='input_155' id='input_1514_155' type='text' value='' class='medium'  tabindex='35'  /></div></li><li id='field_1514_156' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_156'>Middle Name or Initial (As it appears on passport)</label><div class='ginput_container'><input name='input_156' id='input_1514_156' type='text' value='' class='medium'  tabindex='36'  /></div></li><li id='field_1514_157' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_157'>Last Name</label><div class='ginput_container'><input name='input_157' id='input_1514_157' type='text' value='' class='medium'  tabindex='37'  /></div></li><li id='field_1514_158' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_158'>Suffix</label><div class='ginput_container'><input name='input_158' id='input_1514_158' type='text' value='' class='medium'  tabindex='38'  /></div></li><li id='field_1514_139' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_128' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Contact Information (If different from Passenger #1)</h2></li><li id='field_1514_122' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_122_1'>Passenger #2: Address</label><div class='ginput_complex ginput_container' id='input_1514_122'><span class='ginput_full' id='input_1514_122_1_container'><input type='text' name='input_122.1' id='input_1514_122_1' value='' tabindex='39' /><label for='input_1514_122_1' id='input_1514_122_1_label'>Street Address</label></span><span class='ginput_full' id='input_1514_122_2_container' ><input type='text' name='input_122.2' id='input_1514_122_2' value='' tabindex='40' /><label for='input_1514_122_2' id='input_1514_122_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1514_122_3_container'><input type='text' name='input_122.3' id='input_1514_122_3' value='' tabindex='41' /><label for='input_1514_122_3' id='input_1514_122.3_label'>City</label></span><span class='ginput_right' id='input_1514_122_4_container' ><select name='input_122.4' id='input_1514_122.4' tabindex='42'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1514_122.4' id='input_1514_122_4_label'>State</label></span><span class='ginput_left' id='input_1514_122_5_container'><input type='text' name='input_122.5' id='input_1514_122_5' value='' tabindex='44' /><label for='input_1514_122_5' id='input_1514_122_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_122.6' id='input_1514_122_6' value='United States'/></div></li><li id='field_1514_124' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_124'>Passenger #2: Phone (1)</label><div class='ginput_container'><input name='input_124' id='input_1514_124' type='text' value='' class='medium' tabindex='45' /></div></li><li id='field_1514_125' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_125'>Passenger #2: Phone (2)</label><div class='ginput_container'><input name='input_125' id='input_1514_125' type='text' value='' class='medium' tabindex='46' /></div></li><li id='field_1514_123' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_123'>Passenger #2: Email Address</label><div class='ginput_container'><input name='input_123' id='input_1514_123' type='text' value='' class='medium'  tabindex='47'  /></div></li><li id='field_1514_151' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_151'>Date of Birth</label><div class='clear-multi'><div class='gfield_date_month ginput_container' id='input_1514_151'><input type='text' maxlength='2' name='input_151[]' id='input_1514_151.1' value='' tabindex='48' /><label for='input_1514_151.1'>MM</label></div><div class='gfield_date_day ginput_container' id='input_1514_151'><input type='text' maxlength='2' name='input_151[]' id='input_1514_151.2' value='' tabindex='49' /><label for='input_1514_151.2'>DD</label></div><div class='gfield_date_year ginput_container' id='input_1514_151'><input type='text' maxlength='4' name='input_151[]' id='input_1514_151.3' value='' tabindex='50' /><label for='input_1514_151.3'>YYYY</label></div></div></li><li id='field_1514_133' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_133'>Gender</label><div class='ginput_container'><select name='input_133' id='input_1514_133'  class='small gfield_select' tabindex='51' ><option value='Please select ...' >Please select ...</option><option value='Male' >Male</option><option value='Female' >Female</option></select></div></li><li id='field_1514_141' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_135' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Special Trip Details &amp; Requests</h2></li><li id='field_1514_137' class='gfield' style='display:none;'><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1514_137'><li class='gchoice_137_1'><input name='input_137.1' type='checkbox'  value='*Special dietary concerns/requests'  id='choice_137_1' tabindex='52'  /><label for='choice_137_1'>*Special dietary concerns/requests</label></li><li class='gchoice_137_2'><input name='input_137.2' type='checkbox'  value='Wheelchair requirements'  id='choice_137_2' tabindex='53'  /><label for='choice_137_2'>Wheelchair requirements</label></li><li class='gchoice_137_3'><input name='input_137.3' type='checkbox'  value='Others (Please contact me.)'  id='choice_137_3' tabindex='54'  /><label for='choice_137_3'>Others (Please contact me.)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1514_138' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_138'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_138' id='input_1514_138' type='text' value='' class='medium'  tabindex='55'  /></div></li><li id='field_1514_142' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_30' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Emergency Contact Information </h2></li><li id='field_1514_31' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_31.3'>Name</label><div class='ginput_complex ginput_container' id='input_1514_31'><span id='input_1514_31_3_container' class='ginput_left'><input type='text' name='input_31.3' id='input_1514_31_3' value='' tabindex='56' /><label for='input_1514_31_3'>First</label></span><span id='input_1514_31_6_container' class='ginput_right'><input type='text' name='input_31.6' id='input_1514_31_6' value='' tabindex='57' /><label for='input_1514_31_6'>Last</label></span></div></li><li id='field_1514_32' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_32'>Phone (1)</label><div class='ginput_container'><input name='input_32' id='input_1514_32' type='text' value='' class='medium' tabindex='58' /></div></li><li id='field_1514_33' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_33'>Phone (2)</label><div class='ginput_container'><input name='input_33' id='input_1514_33' type='text' value='' class='medium' tabindex='59' /></div></li><li id='field_1514_34' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_34'>Relationship to Passenger</label><div class='ginput_container'><input name='input_34' id='input_1514_34' type='text' value='' class='medium'  tabindex='60'  /></div></li><li id='field_1514_163' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_160' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>If signing up more then 2 passengers please include their name and date of birth in the additional comments field located at the bottom of the form.</h2></li><li id='field_1514_162' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_38' class='gfield  gsection' ><h2 class='gsection_title'>Purchasing Options</h2><div class='gsection_description'>In order to register and save your place on the trip, a $500 non-refundable deposit is required per passenger. Payment in full must be received at 857 West Boylston St. Worcester, MA 01606, 90 days prior to trip date.</div></li><li id='field_1514_116' class='gfield           gfield_price gfield_price_1514_116 gfield_product_1514_116' ><label class='gfield_label' for='input_1514_116'>Deposit</label><div class='ginput_container'><input type='hidden' name='input_116.1' value='Deposit' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1514_116'>$500.00</span><input type='hidden' name='input_116.2' id='ginput_base_price_1514_116' class='gform_hidden' value='$500.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_116.3' value='' id='ginput_quantity_1514_116' class='ginput_quantity' size='10' tabindex='61'/></div><div class='gfield_description'>There is NO 3% surcharge on this option. DO NOT Choose this option if paying the Total Trip Price.</div></li><li id='field_1514_117' class='gfield           gfield_price gfield_price_1514_117 gfield_product_1514_117' ><label class='gfield_label' for='input_1514_117'>Travel Cancellation Protection</label><div class='ginput_container'><input type='hidden' name='input_117.1' value='Travel Cancellation Protection' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1514_117'>$200.00</span><input type='hidden' name='input_117.2' id='ginput_base_price_1514_117' class='gform_hidden' value='$200.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_117.3' value='' id='ginput_quantity_1514_117' class='ginput_quantity' size='10' tabindex='62'/></div><div class='gfield_description'>There is NO 3% surcharge on this option.</div></li><li id='field_1514_115' class='gfield           gfield_price gfield_price_1514_115 gfield_product_1514_115' ><label class='gfield_label' for='input_1514_115'>Single Supplement</label><div class='ginput_container'><input type='hidden' name='input_115.1' value='Single Supplement' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1514_115'>$700.00</span><input type='hidden' name='input_115.2' id='ginput_base_price_1514_115' class='gform_hidden' value='$700.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_115.3' value='' id='ginput_quantity_1514_115' class='ginput_quantity' size='10' tabindex='63'/></div><div class='gfield_description'>If you are traveling by yourself and prefer your own room.
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There is NO 3% surcharge on your deposit or travel cancellation protection if payment is made by credit/debit card.  There is a 3% surcharge if you pay your remaining balance with a credit/debit card.  For this trip, the credit/debit surcharge is $104.97.</div></li><li id='field_1514_96' class='gfield            gfield_price gfield_price_1514_96 gfield_donation_1514_96' ><label class='gfield_label' for='input_1514_96'>Custom Amount</label><div class='ginput_container'><input name='input_96' id='input_1514_96' type='text' value='' class='medium' tabindex='65' /></div></li><li id='field_1514_46' class='gfield' ><label class='gfield_label' for='input_1514_46'>Total</label><div class='ginput_container'><span class='ginput_total ginput_total_1514'>$0.00</span><input type='hidden' name='input_46' id='input_1514_46' class='gform_hidden'/></div></li><li id='field_1514_108' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_73' class='gfield  gsection' ><h2 class='gsection_title'>Payment Information</h2></li><li id='field_1514_79' class='gfield' ><label class='gfield_label' for='input_1514_79'>Payment 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>Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1514_77.4' id='input_1514_77_4_label'>State</label></span><span class='ginput_left' id='input_1514_77_5_container'><input type='text' name='input_77.5' id='input_1514_77_5' value='' tabindex='78' /><label for='input_1514_77_5' id='input_1514_77_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_77.6' 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		</item>
		<item>
		<title>Fr. Tomasi, Lydio &#8211; Holy Rosary Italian Catholic Church, Washington, DC &#8211; HL (2013, June 10 &#8211; 20)</title>
		<link>http://www.proximotravel.com/priest-trip/fr-tomasi-lydio-holy-rosary-italian-catholic-church-washington-dc-hl-2013-june-10-20/</link>
		<comments>http://www.proximotravel.com/priest-trip/fr-tomasi-lydio-holy-rosary-italian-catholic-church-washington-dc-hl-2013-june-10-20/#comments</comments>
		<pubDate>Thu, 17 May 2012 16:09:08 +0000</pubDate>
		<dc:creator>Lynne</dc:creator>
				<category><![CDATA[Holy Land - Priest Trips]]></category>
		<category><![CDATA[Priest Trips]]></category>

		<guid isPermaLink="false">http://www.proximotravel.com/?p=9732</guid>
		<description><![CDATA[Jerusalem • Bethlehem • Nazareth • Galilee • Via Crucis • Last Supper • Gethsemane • Dormition • Nativity Church • Capernaum Fr. Lydio Tomasi, Pastor Holy Rosary Italian Catholic Church, Washington, DC Dates 2013 June 10 &#8211; 20 $3,999 11 Days Airfare Included &#160;]]></description>
			<content:encoded><![CDATA[<h3 style="text-align: center;">Jerusalem • Bethlehem • Nazareth • Galilee • Via Crucis • Last Supper • Gethsemane • Dormition • Nativity Church • Capernaum</h3>
<hr />
<h2>Fr. Lydio Tomasi, Pastor<br />
Holy Rosary Italian Catholic Church, Washington, DC</h2>
<h2>Dates 2013</h2>
<ul>
<li>June 10 &#8211; 20</li>
<li>$3,999 11 Days</li>
<li>Airfare Included</li>
</ul>
<p>&nbsp;</p>

                <div class='gform_wrapper' id='gform_wrapper_1514' style='display:none'><form method='post' enctype='multipart/form-data'  id='gform_1514'  action='/feed/'>
                        <div class='gform_heading'>
                            <span class='gform_description'>Please fill out the form below with your details to reserve your trip now.</span>
                        </div>
                        <div class='gform_body'>
                            <ul id='gform_fields_1514' class='gform_fields top_label'><li id='field_1514_50' class='gfield     gform_hidden' ><input name='input_50' id='input_1514_50' type='hidden' class='gform_hidden' value='Fr. Tomasi, Lydio - Holy Rosary Italian Catholic Church, Washington, DC - HL (2013, June 10 - 20)' /></li><li id='field_1514_55' class='gfield     gform_hidden' ><input name='input_55' id='input_1514_55' type='hidden' class='gform_hidden' value='05/20/2012' /></li><li id='field_1514_152' class='gfield  gsection' ><h2 class='gsection_title'>Passenger #1 Flight Request</h2></li><li id='field_1514_60' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_60'>Departure Airport<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_60' id='input_1514_60' type='text' value='' class='medium'  tabindex='1'  /></div><div class='gfield_description'>Please include the airport that you would like to depart from</div></li><li id='field_1514_85' class='gfield' ><label class='gfield_label' for='input_1514_85'>Seating Preference</label><div class='ginput_container'><select name='input_85' id='input_1514_85'  class='medium gfield_select' tabindex='2' ><option value='No Preference' >No Preference</option><option value='Window Seat' >Window Seat</option><option value='Middle Seat' >Middle Seat</option><option value='Aisle Seat' >Aisle Seat</option><option value='No Preference' >No Preference</option></select></div></li><li id='field_1514_161' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_23' class='gfield  gsection' ><h2 class='gsection_title'> Passenger #1: Name Information</h2></li><li id='field_1514_2' class='gfield' ><label class='gfield_label' for='input_1514_2'>Prefix</label><div class='ginput_container'><select name='input_2' id='input_1514_2'  class='medium gfield_select' tabindex='3' ><option value='Please select one...' >Please select one...</option><option value='Msgr.' >Msgr.</option><option value='Fr.' >Fr.</option><option value='Dr.' >Dr.</option><option value='Mr.' >Mr.</option><option value='Mrs.' >Mrs.</option><option value='Ms.' >Ms.</option></select></div></li><li id='field_1514_1' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_1'>First Name<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_1' id='input_1514_1' type='text' value='' class='medium'  tabindex='4'  /></div></li><li id='field_1514_4' class='gfield' ><label class='gfield_label' for='input_1514_4'>Middle Name or Initial (As it appears on passport)</label><div class='ginput_container'><input name='input_4' id='input_1514_4' type='text' value='' class='medium'  tabindex='5'  /></div></li><li id='field_1514_3' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_3'>Last Name<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_3' id='input_1514_3' type='text' value='' class='medium'  tabindex='6'  /></div></li><li id='field_1514_5' class='gfield' ><label class='gfield_label' for='input_1514_5'>Suffix</label><div class='ginput_container'><input name='input_5' id='input_1514_5' type='text' value='' class='medium'  tabindex='7'  /></div></li><li id='field_1514_52' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_7' class='gfield  gsection' ><h2 class='gsection_title'>Passenger #1: Contact Information</h2></li><li id='field_1514_15' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_15_1'>Address Information<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_1514_15'><span class='ginput_full' id='input_1514_15_1_container'><input type='text' name='input_15.1' id='input_1514_15_1' value='' tabindex='8' /><label for='input_1514_15_1' id='input_1514_15_1_label'>Street Address</label></span><span class='ginput_full' id='input_1514_15_2_container' ><input type='text' name='input_15.2' id='input_1514_15_2' value='' tabindex='9' /><label for='input_1514_15_2' id='input_1514_15_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1514_15_3_container'><input type='text' name='input_15.3' id='input_1514_15_3' value='' tabindex='10' /><label for='input_1514_15_3' id='input_1514_15.3_label'>City</label></span><span class='ginput_right' id='input_1514_15_4_container' ><select name='input_15.4' id='input_1514_15.4' tabindex='11'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1514_15.4' id='input_1514_15_4_label'>State</label></span><span class='ginput_left' id='input_1514_15_5_container'><input type='text' name='input_15.5' id='input_1514_15_5' value='' tabindex='13' /><label for='input_1514_15_5' id='input_1514_15_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_15.6' id='input_1514_15_6' value='United States'/></div></li><li id='field_1514_16' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_16'>Phone (1)<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_16' id='input_1514_16' type='text' value='' class='medium' tabindex='14' /></div></li><li id='field_1514_17' class='gfield' ><label class='gfield_label' for='input_1514_17'>Phone (2)</label><div class='ginput_container'><input name='input_17' id='input_1514_17' type='text' value='' class='medium' tabindex='15' /></div></li><li id='field_1514_14' class='gfield' ><label class='gfield_label' for='input_1514_14'>Email Address</label><div class='ginput_container'><input name='input_14' id='input_1514_14' type='text' value='' class='medium'  tabindex='16'  /></div></li><li id='field_1514_18' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_18'>Date of Birth<span class='gfield_required'>*</span></label><div class='clear-multi'><div class='gfield_date_month ginput_container' id='input_1514_18'><input type='text' maxlength='2' name='input_18[]' id='input_1514_18.1' value='' tabindex='17' /><label for='input_1514_18.1'>MM</label></div><div class='gfield_date_day ginput_container' id='input_1514_18'><input type='text' maxlength='2' name='input_18[]' id='input_1514_18.2' value='' tabindex='18' /><label for='input_1514_18.2'>DD</label></div><div class='gfield_date_year ginput_container' id='input_1514_18'><input type='text' maxlength='4' name='input_18[]' id='input_1514_18.3' value='' tabindex='19' /><label for='input_1514_18.3'>YYYY</label></div></div></li><li id='field_1514_20' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_20'>Gender<span class='gfield_required'>*</span></label><div class='ginput_container'><select name='input_20' id='input_1514_20'  class='medium gfield_select' tabindex='20' ><option value='' selected='selected'>Select one...</option><option value='Male' >Male</option><option value='Female' >Female</option></select></div></li><li id='field_1514_54' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_24' class='gfield  gsection' ><h2 class='gsection_title'>Passenger  #1: Emergency Contact Information</h2></li><li id='field_1514_26' class='gfield' ><label class='gfield_label' for='input_1514_26.3'>Name</label><div class='ginput_complex ginput_container' id='input_1514_26'><span id='input_1514_26_3_container' class='ginput_left'><input type='text' name='input_26.3' id='input_1514_26_3' value='' tabindex='21' /><label for='input_1514_26_3'>First</label></span><span id='input_1514_26_6_container' class='ginput_right'><input type='text' name='input_26.6' id='input_1514_26_6' value='' tabindex='22' /><label for='input_1514_26_6'>Last</label></span></div></li><li id='field_1514_27' class='gfield' ><label class='gfield_label' for='input_1514_27'>Phone (1)</label><div class='ginput_container'><input name='input_27' id='input_1514_27' type='text' value='' class='medium' tabindex='23' /></div></li><li id='field_1514_28' class='gfield' ><label class='gfield_label' for='input_1514_28'>Phone (2)</label><div class='ginput_container'><input name='input_28' id='input_1514_28' type='text' value='' class='medium' tabindex='24' /></div></li><li id='field_1514_29' class='gfield' ><label class='gfield_label' for='input_1514_29'>Relationship to Passenger</label><div class='ginput_container'><input name='input_29' id='input_1514_29' type='text' value='' class='medium'  tabindex='25'  /></div></li><li id='field_1514_49' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_21' class='gfield  gsection' ><h2 class='gsection_title'>Special Trip Details and Requests</h2></li><li id='field_1514_22' class='gfield' ><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1514_22'><li class='gchoice_22_1'><input name='input_22.1' type='checkbox'  value='*Special dietary concerns / requests'  id='choice_22_1' tabindex='26'  /><label for='choice_22_1'>*Special dietary concerns / requests</label></li><li class='gchoice_22_2'><input name='input_22.2' type='checkbox'  value='Wheelchair requirement'  id='choice_22_2' tabindex='27'  /><label for='choice_22_2'>Wheelchair requirement</label></li><li class='gchoice_22_3'><input name='input_22.3' type='checkbox'  value='Others (please contact me)'  id='choice_22_3' tabindex='28'  /><label for='choice_22_3'>Others (please contact me)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1514_145' class='gfield' ><label class='gfield_label' for='input_1514_145'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_145' id='input_1514_145' type='text' value='' class='medium'  tabindex='29'  /></div></li><li id='field_1514_25' class='gfield' ><label class='gfield_label' for='input_1514_25'>I would like to travel and/or room with these people:</label><div class='ginput_container'><textarea name='input_25' id='input_1514_25' class='textarea small' tabindex='30'  rows='10' cols='50'></textarea></div></li><li id='field_1514_126' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_150' class='gfield' ><label class='gfield_label'>Registering an additional passenger?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1514_150'><li class='gchoice_150_1'><input name='input_150.1' type='checkbox' onclick='gf_apply_rules(1514,[153,153,143,136,143,136,129,129,154,155,156,157,158,139,154,155,156,157,158,139,128,128,122,124,125,123,151,133,141,122,124,125,123,151,133,141,135,135,137,138,142,137,138,142,30,30,31,32,33,34,31,32,33,34,160,160,162,162]);' value='Yes'  id='choice_150_1' tabindex='31'  /><label for='choice_150_1'>Yes</label></li></ul></div></li><li id='field_1514_127' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_153' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2 Flight Request</h2></li><li id='field_1514_143' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_143'>Passenger #2: Departure Airport</label><div class='ginput_container'><input name='input_143' id='input_1514_143' type='text' value='' class='medium'  tabindex='32'  /></div><div class='gfield_description'>Please include the airport that you would like to depart from</div></li><li id='field_1514_136' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_136'>Seat Preferences</label><div class='ginput_container'><select name='input_136' id='input_1514_136'  class='medium gfield_select' tabindex='33' ><option value='No Preference' >No Preference</option><option value='Window Seat' >Window Seat</option><option value='Middle Seat' >Middle Seat</option><option value='Aisle Seat' >Aisle Seat</option><option value='No Preference' >No Preference</option></select></div></li><li id='field_1514_159' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div>
</li><li id='field_1514_129' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Name Information</h2></li><li id='field_1514_154' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_154'>Prefix</label><div class='ginput_container'><input name='input_154' id='input_1514_154' type='text' value='' class='medium'  tabindex='34'  /></div></li><li id='field_1514_155' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_155'>First Name </label><div class='ginput_container'><input name='input_155' id='input_1514_155' type='text' value='' class='medium'  tabindex='35'  /></div></li><li id='field_1514_156' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_156'>Middle Name or Initial (As it appears on passport)</label><div class='ginput_container'><input name='input_156' id='input_1514_156' type='text' value='' class='medium'  tabindex='36'  /></div></li><li id='field_1514_157' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_157'>Last Name</label><div class='ginput_container'><input name='input_157' id='input_1514_157' type='text' value='' class='medium'  tabindex='37'  /></div></li><li id='field_1514_158' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_158'>Suffix</label><div class='ginput_container'><input name='input_158' id='input_1514_158' type='text' value='' class='medium'  tabindex='38'  /></div></li><li id='field_1514_139' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_128' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Contact Information (If different from Passenger #1)</h2></li><li id='field_1514_122' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_122_1'>Passenger #2: Address</label><div class='ginput_complex ginput_container' id='input_1514_122'><span class='ginput_full' id='input_1514_122_1_container'><input type='text' name='input_122.1' id='input_1514_122_1' value='' tabindex='39' /><label for='input_1514_122_1' id='input_1514_122_1_label'>Street Address</label></span><span class='ginput_full' id='input_1514_122_2_container' ><input type='text' name='input_122.2' id='input_1514_122_2' value='' tabindex='40' /><label for='input_1514_122_2' id='input_1514_122_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1514_122_3_container'><input type='text' name='input_122.3' id='input_1514_122_3' value='' tabindex='41' /><label for='input_1514_122_3' id='input_1514_122.3_label'>City</label></span><span class='ginput_right' id='input_1514_122_4_container' ><select name='input_122.4' id='input_1514_122.4' tabindex='42'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1514_122.4' id='input_1514_122_4_label'>State</label></span><span class='ginput_left' id='input_1514_122_5_container'><input type='text' name='input_122.5' id='input_1514_122_5' value='' tabindex='44' /><label for='input_1514_122_5' id='input_1514_122_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_122.6' id='input_1514_122_6' value='United States'/></div></li><li id='field_1514_124' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_124'>Passenger #2: Phone (1)</label><div class='ginput_container'><input name='input_124' id='input_1514_124' type='text' value='' class='medium' tabindex='45' /></div></li><li id='field_1514_125' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_125'>Passenger #2: Phone (2)</label><div class='ginput_container'><input name='input_125' id='input_1514_125' type='text' value='' class='medium' tabindex='46' /></div></li><li id='field_1514_123' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_123'>Passenger #2: Email Address</label><div class='ginput_container'><input name='input_123' id='input_1514_123' type='text' value='' class='medium'  tabindex='47'  /></div></li><li id='field_1514_151' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_151'>Date of Birth</label><div class='clear-multi'><div class='gfield_date_month ginput_container' id='input_1514_151'><input type='text' maxlength='2' name='input_151[]' id='input_1514_151.1' value='' tabindex='48' /><label for='input_1514_151.1'>MM</label></div><div class='gfield_date_day ginput_container' id='input_1514_151'><input type='text' maxlength='2' name='input_151[]' id='input_1514_151.2' value='' tabindex='49' /><label for='input_1514_151.2'>DD</label></div><div class='gfield_date_year ginput_container' id='input_1514_151'><input type='text' maxlength='4' name='input_151[]' id='input_1514_151.3' value='' tabindex='50' /><label for='input_1514_151.3'>YYYY</label></div></div></li><li id='field_1514_133' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_133'>Gender</label><div class='ginput_container'><select name='input_133' id='input_1514_133'  class='small gfield_select' tabindex='51' ><option value='Please select ...' >Please select ...</option><option value='Male' >Male</option><option value='Female' >Female</option></select></div></li><li id='field_1514_141' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_135' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Special Trip Details &amp; Requests</h2></li><li id='field_1514_137' class='gfield' style='display:none;'><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1514_137'><li class='gchoice_137_1'><input name='input_137.1' type='checkbox'  value='*Special dietary concerns/requests'  id='choice_137_1' tabindex='52'  /><label for='choice_137_1'>*Special dietary concerns/requests</label></li><li class='gchoice_137_2'><input name='input_137.2' type='checkbox'  value='Wheelchair requirements'  id='choice_137_2' tabindex='53'  /><label for='choice_137_2'>Wheelchair requirements</label></li><li class='gchoice_137_3'><input name='input_137.3' type='checkbox'  value='Others (Please contact me.)'  id='choice_137_3' tabindex='54'  /><label for='choice_137_3'>Others (Please contact me.)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1514_138' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_138'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_138' id='input_1514_138' type='text' value='' class='medium'  tabindex='55'  /></div></li><li id='field_1514_142' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_30' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Emergency Contact Information </h2></li><li id='field_1514_31' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_31.3'>Name</label><div class='ginput_complex ginput_container' id='input_1514_31'><span id='input_1514_31_3_container' class='ginput_left'><input type='text' name='input_31.3' id='input_1514_31_3' value='' tabindex='56' /><label for='input_1514_31_3'>First</label></span><span id='input_1514_31_6_container' class='ginput_right'><input type='text' name='input_31.6' id='input_1514_31_6' value='' tabindex='57' /><label for='input_1514_31_6'>Last</label></span></div></li><li id='field_1514_32' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_32'>Phone (1)</label><div class='ginput_container'><input name='input_32' id='input_1514_32' type='text' value='' class='medium' tabindex='58' /></div></li><li id='field_1514_33' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_33'>Phone (2)</label><div class='ginput_container'><input name='input_33' id='input_1514_33' type='text' value='' class='medium' tabindex='59' /></div></li><li id='field_1514_34' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_34'>Relationship to Passenger</label><div class='ginput_container'><input name='input_34' id='input_1514_34' type='text' value='' class='medium'  tabindex='60'  /></div></li><li id='field_1514_163' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_160' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>If signing up more then 2 passengers please include their name and date of birth in the additional comments field located at the bottom of the form.</h2></li><li id='field_1514_162' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_38' class='gfield  gsection' ><h2 class='gsection_title'>Purchasing Options</h2><div class='gsection_description'>In order to register and save your place on the trip, a $500 non-refundable deposit is required per passenger. Payment in full must be received at 857 West Boylston St. Worcester, MA 01606, 90 days prior to trip date.</div></li><li id='field_1514_116' class='gfield           gfield_price gfield_price_1514_116 gfield_product_1514_116' ><label class='gfield_label' for='input_1514_116'>Deposit</label><div class='ginput_container'><input type='hidden' name='input_116.1' value='Deposit' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1514_116'>$500.00</span><input type='hidden' name='input_116.2' id='ginput_base_price_1514_116' class='gform_hidden' value='$500.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_116.3' value='' id='ginput_quantity_1514_116' class='ginput_quantity' size='10' tabindex='61'/></div><div class='gfield_description'>There is NO 3% surcharge on this option. DO NOT Choose this option if paying the Total Trip Price.</div></li><li id='field_1514_117' class='gfield           gfield_price gfield_price_1514_117 gfield_product_1514_117' ><label class='gfield_label' for='input_1514_117'>Travel Cancellation Protection</label><div class='ginput_container'><input type='hidden' name='input_117.1' value='Travel Cancellation Protection' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1514_117'>$200.00</span><input type='hidden' name='input_117.2' id='ginput_base_price_1514_117' class='gform_hidden' value='$200.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_117.3' value='' id='ginput_quantity_1514_117' class='ginput_quantity' size='10' tabindex='62'/></div><div class='gfield_description'>There is NO 3% surcharge on this option.</div></li><li id='field_1514_115' class='gfield           gfield_price gfield_price_1514_115 gfield_product_1514_115' ><label class='gfield_label' for='input_1514_115'>Single Supplement</label><div class='ginput_container'><input type='hidden' name='input_115.1' value='Single Supplement' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1514_115'>$700.00</span><input type='hidden' name='input_115.2' id='ginput_base_price_1514_115' class='gform_hidden' value='$700.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_115.3' value='' id='ginput_quantity_1514_115' class='ginput_quantity' size='10' tabindex='63'/></div><div class='gfield_description'>If you are traveling by yourself and prefer your own room.
There is NO 3% surcharge on this option.</div></li><li id='field_1514_119' class='gfield           gfield_price gfield_price_1514_119 gfield_product_1514_119' ><label class='gfield_label' for='input_1514_119'>*Total Trip Price</label><div class='ginput_container'><input type='hidden' name='input_119.1' value='*Total Trip Price' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1514_119'>$4,103.97</span><input type='hidden' name='input_119.2' id='ginput_base_price_1514_119' class='gform_hidden' value='$4,103.97'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_119.3' value='' id='ginput_quantity_1514_119' class='ginput_quantity' size='10' tabindex='64'/></div><div class='gfield_description'>* This option includes the $500 deposit.
There is NO 3% surcharge on your deposit or travel cancellation protection if payment is made by credit/debit card.  There is a 3% surcharge if you pay your remaining balance with a credit/debit card.  For this trip, the credit/debit surcharge is $104.97.</div></li><li id='field_1514_96' class='gfield            gfield_price gfield_price_1514_96 gfield_donation_1514_96' ><label class='gfield_label' for='input_1514_96'>Custom Amount</label><div class='ginput_container'><input name='input_96' id='input_1514_96' type='text' value='' class='medium' tabindex='65' /></div></li><li id='field_1514_46' class='gfield' ><label class='gfield_label' for='input_1514_46'>Total</label><div class='ginput_container'><span class='ginput_total ginput_total_1514'>$0.00</span><input type='hidden' name='input_46' id='input_1514_46' class='gform_hidden'/></div></li><li id='field_1514_108' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_73' class='gfield  gsection' ><h2 class='gsection_title'>Payment Information</h2></li><li id='field_1514_79' class='gfield' ><label class='gfield_label' for='input_1514_79'>Payment Type</label><div class='ginput_container'><select name='input_79' id='input_1514_79' onchange='gf_apply_rules(1514,[97,98,99,100,101]);' class='medium gfield_select' tabindex='66' ><option value='Credit Card or Debit Card' >Credit Card or Debit Card</option><option value='Money Order' >Money Order</option><option value='Cash' >Cash</option><option value='Check' >Check</option></select></div></li><li id='field_1514_97' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_97'>Name On Card</label><div class='ginput_container'><input name='input_97' id='input_1514_97' type='text' value='' class='medium'  tabindex='67'  /></div></li><li id='field_1514_98' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_98'>Credit Card or Debit Card Number</label><div class='ginput_container'><input name='input_98' id='input_1514_98' type='text' value='' class='medium' tabindex='68' /></div></li><li id='field_1514_99' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_99'>CVV</label><div class='ginput_container'><input name='input_99' id='input_1514_99' type='text' value='' class='small' tabindex='69' /></div></li><li id='field_1514_100' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_100'>Expiration Month</label><div class='ginput_container'><select name='input_100' id='input_1514_100'  class='small gfield_select' tabindex='70' ><option value='01' >January</option><option value='02' >February</option><option value='03' >March</option><option value='04' >April</option><option value='05' >May</option><option value='06' >June</option><option value='07' >July</option><option value='08' >August</option><option value='09' >September</option><option value='10' >October</option><option value='11' >November</option><option value='12' >December</option></select></div></li><li id='field_1514_101' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_101'>Expiration Year</label><div class='ginput_container'><select name='input_101' id='input_1514_101'  class='small gfield_select' tabindex='71' ><option value='12' >2012</option><option value='13' >2013</option><option value='14' >2014</option><option value='15' >2015</option><option value='16' >2016</option><option value='17' >2017</option><option value='18' >2018</option><option value='19' >2019</option><option value='20' >2020</option><option value='21' >2021</option><option value='22' >2022</option><option value='23' >2023</option><option value='24' >2024</option><option value='25' >2025</option></select></div></li><li id='field_1514_103' class='gfield' ><label class='gfield_label'>Check if Billing Address and Mailing Address are the same.</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1514_103'><li class='gchoice_103_1'><input name='input_103.1' type='checkbox' onclick='gf_apply_rules(1514,[77]);' value='Same'  id='choice_103_1' tabindex='72'  /><label for='choice_103_1'>Same</label></li></ul></div></li><li id='field_1514_77' class='gfield' ><label class='gfield_label' for='input_1514_77_1'>Billing Address (If different from above)</label><div class='ginput_complex ginput_container' id='input_1514_77'><span class='ginput_full' id='input_1514_77_1_container'><input type='text' name='input_77.1' id='input_1514_77_1' value='' tabindex='73' /><label for='input_1514_77_1' id='input_1514_77_1_label'>Street Address</label></span><span class='ginput_full' id='input_1514_77_2_container' ><input type='text' name='input_77.2' id='input_1514_77_2' value='' tabindex='74' /><label for='input_1514_77_2' id='input_1514_77_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1514_77_3_container'><input type='text' name='input_77.3' id='input_1514_77_3' value='' tabindex='75' /><label for='input_1514_77_3' id='input_1514_77.3_label'>City</label></span><span class='ginput_right' id='input_1514_77_4_container' ><select name='input_77.4' id='input_1514_77.4' tabindex='76'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1514_77.4' id='input_1514_77_4_label'>State</label></span><span class='ginput_left' id='input_1514_77_5_container'><input type='text' name='input_77.5' id='input_1514_77_5' value='' tabindex='78' /><label for='input_1514_77_5' id='input_1514_77_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_77.6' 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			<wfw:commentRss>http://www.proximotravel.com/priest-trip/fr-tomasi-lydio-holy-rosary-italian-catholic-church-washington-dc-hl-2013-june-10-20/feed/</wfw:commentRss>
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		</item>
		<item>
		<title>Fr. Dianda, Carl &#8211; St. Francis de Sales Catholic Church, Washington, DC &#8211; HL (2013, April 29 &#8211; May 09)</title>
		<link>http://www.proximotravel.com/priest-trip/fr-dianda-carl-st-francis-de-sales-catholic-church-washington-dc-hl-2013-april-29-may-09/</link>
		<comments>http://www.proximotravel.com/priest-trip/fr-dianda-carl-st-francis-de-sales-catholic-church-washington-dc-hl-2013-april-29-may-09/#comments</comments>
		<pubDate>Thu, 17 May 2012 16:01:55 +0000</pubDate>
		<dc:creator>Lynne</dc:creator>
				<category><![CDATA[Holy Land - Priest Trips]]></category>
		<category><![CDATA[Priest Trips]]></category>

		<guid isPermaLink="false">http://www.proximotravel.com/?p=9728</guid>
		<description><![CDATA[Jerusalem • Bethlehem • Nazareth • Galilee • Via Crucis • Last Supper • Gethsemane • Dormition • Nativity Church • Capernaum Fr. Carl Dianda, Pastor St. Francis de Sales Catholic Church, Washington, DC Dates 2013 April 29 &#8211; May 09 $3,999 11 Days Airfare Included &#160;]]></description>
			<content:encoded><![CDATA[<h3 style="text-align: center;">Jerusalem • Bethlehem • Nazareth • Galilee • Via Crucis • Last Supper • Gethsemane • Dormition • Nativity Church • Capernaum</h3>
<hr />
<h2>Fr. Carl Dianda, Pastor<br />
St. Francis de Sales Catholic Church, Washington, DC</h2>
<h2>Dates 2013</h2>
<ul>
<li>April 29 &#8211; May 09</li>
<li>$3,999 11 Days</li>
<li>Airfare Included</li>
</ul>
<p>&nbsp;</p>

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Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1514_15.4' id='input_1514_15_4_label'>State</label></span><span class='ginput_left' id='input_1514_15_5_container'><input type='text' name='input_15.5' id='input_1514_15_5' value='' tabindex='13' /><label for='input_1514_15_5' id='input_1514_15_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_15.6' id='input_1514_15_6' value='United States'/></div></li><li id='field_1514_16' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_16'>Phone (1)<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_16' id='input_1514_16' type='text' value='' class='medium' tabindex='14' /></div></li><li id='field_1514_17' class='gfield' ><label class='gfield_label' for='input_1514_17'>Phone (2)</label><div class='ginput_container'><input name='input_17' id='input_1514_17' type='text' value='' class='medium' tabindex='15' /></div></li><li id='field_1514_14' class='gfield' ><label class='gfield_label' for='input_1514_14'>Email Address</label><div class='ginput_container'><input name='input_14' id='input_1514_14' type='text' value='' class='medium'  tabindex='16'  /></div></li><li id='field_1514_18' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_18'>Date of Birth<span class='gfield_required'>*</span></label><div class='clear-multi'><div class='gfield_date_month ginput_container' id='input_1514_18'><input type='text' maxlength='2' name='input_18[]' id='input_1514_18.1' value='' tabindex='17' /><label for='input_1514_18.1'>MM</label></div><div class='gfield_date_day ginput_container' id='input_1514_18'><input type='text' maxlength='2' name='input_18[]' id='input_1514_18.2' value='' tabindex='18' /><label for='input_1514_18.2'>DD</label></div><div class='gfield_date_year ginput_container' id='input_1514_18'><input type='text' maxlength='4' name='input_18[]' id='input_1514_18.3' value='' tabindex='19' /><label for='input_1514_18.3'>YYYY</label></div></div></li><li id='field_1514_20' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1514_20'>Gender<span class='gfield_required'>*</span></label><div class='ginput_container'><select name='input_20' id='input_1514_20'  class='medium gfield_select' tabindex='20' ><option value='' selected='selected'>Select one...</option><option value='Male' >Male</option><option value='Female' >Female</option></select></div></li><li id='field_1514_54' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_24' class='gfield  gsection' ><h2 class='gsection_title'>Passenger  #1: Emergency Contact Information</h2></li><li id='field_1514_26' class='gfield' ><label class='gfield_label' for='input_1514_26.3'>Name</label><div class='ginput_complex ginput_container' id='input_1514_26'><span id='input_1514_26_3_container' class='ginput_left'><input type='text' name='input_26.3' id='input_1514_26_3' value='' tabindex='21' /><label for='input_1514_26_3'>First</label></span><span id='input_1514_26_6_container' class='ginput_right'><input type='text' name='input_26.6' id='input_1514_26_6' value='' tabindex='22' /><label for='input_1514_26_6'>Last</label></span></div></li><li id='field_1514_27' class='gfield' ><label class='gfield_label' for='input_1514_27'>Phone (1)</label><div class='ginput_container'><input name='input_27' id='input_1514_27' type='text' value='' class='medium' tabindex='23' /></div></li><li id='field_1514_28' class='gfield' ><label class='gfield_label' for='input_1514_28'>Phone (2)</label><div class='ginput_container'><input name='input_28' id='input_1514_28' type='text' value='' class='medium' tabindex='24' /></div></li><li id='field_1514_29' class='gfield' ><label class='gfield_label' for='input_1514_29'>Relationship to Passenger</label><div class='ginput_container'><input name='input_29' id='input_1514_29' type='text' value='' class='medium'  tabindex='25'  /></div></li><li id='field_1514_49' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_21' class='gfield  gsection' ><h2 class='gsection_title'>Special Trip Details and Requests</h2></li><li id='field_1514_22' class='gfield' ><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1514_22'><li class='gchoice_22_1'><input name='input_22.1' type='checkbox'  value='*Special dietary concerns / requests'  id='choice_22_1' tabindex='26'  /><label for='choice_22_1'>*Special dietary concerns / requests</label></li><li class='gchoice_22_2'><input name='input_22.2' type='checkbox'  value='Wheelchair requirement'  id='choice_22_2' tabindex='27'  /><label for='choice_22_2'>Wheelchair requirement</label></li><li class='gchoice_22_3'><input name='input_22.3' type='checkbox'  value='Others (please contact me)'  id='choice_22_3' tabindex='28'  /><label for='choice_22_3'>Others (please contact me)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1514_145' class='gfield' ><label class='gfield_label' for='input_1514_145'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_145' id='input_1514_145' type='text' value='' class='medium'  tabindex='29'  /></div></li><li id='field_1514_25' class='gfield' ><label class='gfield_label' for='input_1514_25'>I would like to travel and/or room with these people:</label><div class='ginput_container'><textarea name='input_25' id='input_1514_25' class='textarea small' tabindex='30'  rows='10' cols='50'></textarea></div></li><li id='field_1514_126' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_150' class='gfield' ><label class='gfield_label'>Registering an additional passenger?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1514_150'><li class='gchoice_150_1'><input name='input_150.1' type='checkbox' onclick='gf_apply_rules(1514,[153,153,143,136,143,136,129,129,154,155,156,157,158,139,154,155,156,157,158,139,128,128,122,124,125,123,151,133,141,122,124,125,123,151,133,141,135,135,137,138,142,137,138,142,30,30,31,32,33,34,31,32,33,34,160,160,162,162]);' value='Yes'  id='choice_150_1' tabindex='31'  /><label for='choice_150_1'>Yes</label></li></ul></div></li><li id='field_1514_127' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_153' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2 Flight Request</h2></li><li id='field_1514_143' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_143'>Passenger #2: Departure Airport</label><div class='ginput_container'><input name='input_143' id='input_1514_143' type='text' value='' class='medium'  tabindex='32'  /></div><div class='gfield_description'>Please include the airport that you would like to depart from</div></li><li id='field_1514_136' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_136'>Seat Preferences</label><div class='ginput_container'><select name='input_136' id='input_1514_136'  class='medium gfield_select' tabindex='33' ><option value='No Preference' >No Preference</option><option value='Window Seat' >Window Seat</option><option value='Middle Seat' >Middle Seat</option><option value='Aisle Seat' >Aisle Seat</option><option value='No Preference' >No Preference</option></select></div></li><li id='field_1514_159' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div>
</li><li id='field_1514_129' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Name Information</h2></li><li id='field_1514_154' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_154'>Prefix</label><div class='ginput_container'><input name='input_154' id='input_1514_154' type='text' value='' class='medium'  tabindex='34'  /></div></li><li id='field_1514_155' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_155'>First Name </label><div class='ginput_container'><input name='input_155' id='input_1514_155' type='text' value='' class='medium'  tabindex='35'  /></div></li><li id='field_1514_156' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_156'>Middle Name or Initial (As it appears on passport)</label><div class='ginput_container'><input name='input_156' id='input_1514_156' type='text' value='' class='medium'  tabindex='36'  /></div></li><li id='field_1514_157' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_157'>Last Name</label><div class='ginput_container'><input name='input_157' id='input_1514_157' type='text' value='' class='medium'  tabindex='37'  /></div></li><li id='field_1514_158' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_158'>Suffix</label><div class='ginput_container'><input name='input_158' id='input_1514_158' type='text' value='' class='medium'  tabindex='38'  /></div></li><li id='field_1514_139' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_128' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Contact Information (If different from Passenger #1)</h2></li><li id='field_1514_122' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_122_1'>Passenger #2: Address</label><div class='ginput_complex ginput_container' id='input_1514_122'><span class='ginput_full' id='input_1514_122_1_container'><input type='text' name='input_122.1' id='input_1514_122_1' value='' tabindex='39' /><label for='input_1514_122_1' id='input_1514_122_1_label'>Street Address</label></span><span class='ginput_full' id='input_1514_122_2_container' ><input type='text' name='input_122.2' id='input_1514_122_2' value='' tabindex='40' /><label for='input_1514_122_2' id='input_1514_122_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1514_122_3_container'><input type='text' name='input_122.3' id='input_1514_122_3' value='' tabindex='41' /><label for='input_1514_122_3' id='input_1514_122.3_label'>City</label></span><span class='ginput_right' id='input_1514_122_4_container' ><select name='input_122.4' id='input_1514_122.4' tabindex='42'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1514_122.4' id='input_1514_122_4_label'>State</label></span><span class='ginput_left' id='input_1514_122_5_container'><input type='text' name='input_122.5' id='input_1514_122_5' value='' tabindex='44' /><label for='input_1514_122_5' id='input_1514_122_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_122.6' id='input_1514_122_6' value='United States'/></div></li><li id='field_1514_124' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_124'>Passenger #2: Phone (1)</label><div class='ginput_container'><input name='input_124' id='input_1514_124' type='text' value='' class='medium' tabindex='45' /></div></li><li id='field_1514_125' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_125'>Passenger #2: Phone (2)</label><div class='ginput_container'><input name='input_125' id='input_1514_125' type='text' value='' class='medium' tabindex='46' /></div></li><li id='field_1514_123' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_123'>Passenger #2: Email Address</label><div class='ginput_container'><input name='input_123' id='input_1514_123' type='text' value='' class='medium'  tabindex='47'  /></div></li><li id='field_1514_151' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_151'>Date of Birth</label><div class='clear-multi'><div class='gfield_date_month ginput_container' id='input_1514_151'><input type='text' maxlength='2' name='input_151[]' id='input_1514_151.1' value='' tabindex='48' /><label for='input_1514_151.1'>MM</label></div><div class='gfield_date_day ginput_container' id='input_1514_151'><input type='text' maxlength='2' name='input_151[]' id='input_1514_151.2' value='' tabindex='49' /><label for='input_1514_151.2'>DD</label></div><div class='gfield_date_year ginput_container' id='input_1514_151'><input type='text' maxlength='4' name='input_151[]' id='input_1514_151.3' value='' tabindex='50' /><label for='input_1514_151.3'>YYYY</label></div></div></li><li id='field_1514_133' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_133'>Gender</label><div class='ginput_container'><select name='input_133' id='input_1514_133'  class='small gfield_select' tabindex='51' ><option value='Please select ...' >Please select ...</option><option value='Male' >Male</option><option value='Female' >Female</option></select></div></li><li id='field_1514_141' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_135' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Special Trip Details &amp; Requests</h2></li><li id='field_1514_137' class='gfield' style='display:none;'><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1514_137'><li class='gchoice_137_1'><input name='input_137.1' type='checkbox'  value='*Special dietary concerns/requests'  id='choice_137_1' tabindex='52'  /><label for='choice_137_1'>*Special dietary concerns/requests</label></li><li class='gchoice_137_2'><input name='input_137.2' type='checkbox'  value='Wheelchair requirements'  id='choice_137_2' tabindex='53'  /><label for='choice_137_2'>Wheelchair requirements</label></li><li class='gchoice_137_3'><input name='input_137.3' type='checkbox'  value='Others (Please contact me.)'  id='choice_137_3' tabindex='54'  /><label for='choice_137_3'>Others (Please contact me.)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1514_138' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_138'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_138' id='input_1514_138' type='text' value='' class='medium'  tabindex='55'  /></div></li><li id='field_1514_142' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_30' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Emergency Contact Information </h2></li><li id='field_1514_31' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_31.3'>Name</label><div class='ginput_complex ginput_container' id='input_1514_31'><span id='input_1514_31_3_container' class='ginput_left'><input type='text' name='input_31.3' id='input_1514_31_3' value='' tabindex='56' /><label for='input_1514_31_3'>First</label></span><span id='input_1514_31_6_container' class='ginput_right'><input type='text' name='input_31.6' id='input_1514_31_6' value='' tabindex='57' /><label for='input_1514_31_6'>Last</label></span></div></li><li id='field_1514_32' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_32'>Phone (1)</label><div class='ginput_container'><input name='input_32' id='input_1514_32' type='text' value='' class='medium' tabindex='58' /></div></li><li id='field_1514_33' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_33'>Phone (2)</label><div class='ginput_container'><input name='input_33' id='input_1514_33' type='text' value='' class='medium' tabindex='59' /></div></li><li id='field_1514_34' class='gfield' style='display:none;'><label class='gfield_label' for='input_1514_34'>Relationship to Passenger</label><div class='ginput_container'><input name='input_34' id='input_1514_34' type='text' value='' class='medium'  tabindex='60'  /></div></li><li id='field_1514_163' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_160' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>If signing up more then 2 passengers please include their name and date of birth in the additional comments field located at the bottom of the form.</h2></li><li id='field_1514_162' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1514_38' class='gfield  gsection' ><h2 class='gsection_title'>Purchasing Options</h2><div class='gsection_description'>In order to register and save your place on the trip, a $500 non-refundable deposit is required per passenger. Payment in full must be received at 857 West Boylston St. Worcester, MA 01606, 90 days prior to trip date.</div></li><li id='field_1514_116' class='gfield           gfield_price gfield_price_1514_116 gfield_product_1514_116' ><label class='gfield_label' for='input_1514_116'>Deposit</label><div class='ginput_container'><input type='hidden' name='input_116.1' value='Deposit' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1514_116'>$500.00</span><input type='hidden' name='input_116.2' id='ginput_base_price_1514_116' class='gform_hidden' value='$500.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_116.3' value='' id='ginput_quantity_1514_116' class='ginput_quantity' size='10' tabindex='61'/></div><div class='gfield_description'>There is NO 3% surcharge on this option. DO NOT Choose this option if paying the Total Trip Price.</div></li><li id='field_1514_117' class='gfield           gfield_price gfield_price_1514_117 gfield_product_1514_117' ><label class='gfield_label' for='input_1514_117'>Travel Cancellation Protection</label><div class='ginput_container'><input type='hidden' name='input_117.1' value='Travel Cancellation Protection' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1514_117'>$200.00</span><input type='hidden' name='input_117.2' id='ginput_base_price_1514_117' class='gform_hidden' value='$200.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_117.3' value='' id='ginput_quantity_1514_117' class='ginput_quantity' size='10' tabindex='62'/></div><div class='gfield_description'>There is NO 3% surcharge on this option.</div></li><li id='field_1514_115' class='gfield           gfield_price gfield_price_1514_115 gfield_product_1514_115' ><label class='gfield_label' for='input_1514_115'>Single Supplement</label><div class='ginput_container'><input type='hidden' name='input_115.1' value='Single Supplement' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1514_115'>$700.00</span><input type='hidden' name='input_115.2' id='ginput_base_price_1514_115' class='gform_hidden' value='$700.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_115.3' value='' id='ginput_quantity_1514_115' class='ginput_quantity' size='10' tabindex='63'/></div><div class='gfield_description'>If you are traveling by yourself and prefer your own room.
There is NO 3% surcharge on this option.</div></li><li id='field_1514_119' class='gfield           gfield_price gfield_price_1514_119 gfield_product_1514_119' ><label class='gfield_label' for='input_1514_119'>*Total Trip Price</label><div class='ginput_container'><input type='hidden' name='input_119.1' value='*Total Trip Price' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1514_119'>$4,103.97</span><input type='hidden' name='input_119.2' id='ginput_base_price_1514_119' class='gform_hidden' value='$4,103.97'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_119.3' value='' id='ginput_quantity_1514_119' class='ginput_quantity' size='10' tabindex='64'/></div><div class='gfield_description'>* This option includes the $500 deposit.
There is NO 3% surcharge on your deposit or travel cancellation protection if payment is made by credit/debit card.  There is a 3% surcharge if you pay your remaining balance with a credit/debit card.  For this trip, the credit/debit surcharge is $104.97.</div></li><li id='field_1514_96' class='gfield            gfield_price gfield_price_1514_96 gfield_donation_1514_96' ><label class='gfield_label' for='input_1514_96'>Custom Amount</label><div class='ginput_container'><input name='input_96' id='input_1514_96' type='text' value='' class='medium' tabindex='65' /></div></li><li id='field_1514_46' class='gfield' ><label class='gfield_label' for='input_1514_46'>Total</label><div class='ginput_container'><span class='ginput_total ginput_total_1514'>$0.00</span><input type='hidden' name='input_46' id='input_1514_46' class='gform_hidden'/></div></li><li id='field_1514_108' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1514_73' class='gfield  gsection' ><h2 class='gsection_title'>Payment Information</h2></li><li id='field_1514_79' class='gfield' ><label class='gfield_label' for='input_1514_79'>Payment 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			<wfw:commentRss>http://www.proximotravel.com/priest-trip/fr-dianda-carl-st-francis-de-sales-catholic-church-washington-dc-hl-2013-april-29-may-09/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Fr. Briese, Michael &#8211; Holy Name Parish, Washington, DC &#8211; IR (2013, June 22 &#8211; 30)</title>
		<link>http://www.proximotravel.com/priest-trip/fr-briese-michael-holy-name-parish-washington-dc-ir-2013-june-22-30/</link>
		<comments>http://www.proximotravel.com/priest-trip/fr-briese-michael-holy-name-parish-washington-dc-ir-2013-june-22-30/#comments</comments>
		<pubDate>Thu, 17 May 2012 15:53:06 +0000</pubDate>
		<dc:creator>Lynne</dc:creator>
				<category><![CDATA[Italy Regular - Priest Trips]]></category>
		<category><![CDATA[Priest Trips]]></category>

		<guid isPermaLink="false">http://www.proximotravel.com/?p=9725</guid>
		<description><![CDATA[Rome • Tuscany • Florence • Assisi • Venice Fr. Michael Briese, Pastor Holy Name Parish, Washington, DC Dates in 2013 June 22 &#8211; 30 $3,599 9 Days Airfare included]]></description>
			<content:encoded><![CDATA[<h3 style="text-align: center;">Rome • Tuscany • Florence • Assisi • Venice</h3>
<hr />
<h2>Fr. Michael Briese, Pastor<br />
Holy Name Parish, Washington, DC</h2>
<h3>Dates in 2013</h3>
<ul>
<li>June 22 &#8211; 30</li>
<li>$3,599 9 Days</li>
<li>Airfare included</li>
</ul>

                <div class='gform_wrapper' id='gform_wrapper_1516' style='display:none'><form method='post' enctype='multipart/form-data'  id='gform_1516'  action='/feed/'>
                        <div class='gform_heading'>
                            <span class='gform_description'>Please fill out the form below with your details to reserve your trip now.</span>
                        </div>
                        <div class='gform_body'>
                            <ul id='gform_fields_1516' class='gform_fields top_label'><li id='field_1516_50' class='gfield     gform_hidden' ><input name='input_50' id='input_1516_50' type='hidden' class='gform_hidden' value='Fr. Briese, Michael - Holy Name Parish, Washington, DC - IR (2013, June 22 - 30)' /></li><li id='field_1516_55' class='gfield     gform_hidden' ><input name='input_55' id='input_1516_55' type='hidden' class='gform_hidden' value='05/20/2012' /></li><li id='field_1516_152' class='gfield  gsection' ><h2 class='gsection_title'>Passenger #1 Flight Request</h2></li><li id='field_1516_60' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1516_60'>Departure Airport<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_60' id='input_1516_60' type='text' value='' class='medium'  tabindex='1'  /></div><div class='gfield_description'>Please include the airport that you would like to depart from</div></li><li id='field_1516_85' class='gfield' ><label class='gfield_label' for='input_1516_85'>Seating Preference</label><div class='ginput_container'><select name='input_85' id='input_1516_85'  class='medium gfield_select' tabindex='2' ><option value='No Preference' >No Preference</option><option value='Window Seat' >Window Seat</option><option value='Middle Seat' >Middle Seat</option><option value='Aisle Seat' >Aisle Seat</option><option value='No Preference' >No Preference</option></select></div></li><li id='field_1516_161' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1516_23' class='gfield  gsection' ><h2 class='gsection_title'> Passenger #1: Name Information</h2></li><li id='field_1516_2' class='gfield' ><label class='gfield_label' for='input_1516_2'>Prefix</label><div class='ginput_container'><select name='input_2' id='input_1516_2'  class='medium gfield_select' tabindex='3' ><option value='Please select one...' >Please select one...</option><option value='Msgr.' >Msgr.</option><option value='Fr.' >Fr.</option><option value='Dr.' >Dr.</option><option value='Mr.' >Mr.</option><option value='Mrs.' >Mrs.</option><option value='Ms.' >Ms.</option></select></div></li><li id='field_1516_1' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1516_1'>First Name<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_1' id='input_1516_1' type='text' value='' class='medium'  tabindex='4'  /></div></li><li id='field_1516_4' class='gfield' ><label class='gfield_label' for='input_1516_4'>Middle Name or Initial (As it appears on passport)</label><div class='ginput_container'><input name='input_4' id='input_1516_4' type='text' value='' class='medium'  tabindex='5'  /></div></li><li id='field_1516_3' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1516_3'>Last Name<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_3' id='input_1516_3' type='text' value='' class='medium'  tabindex='6'  /></div></li><li id='field_1516_5' class='gfield' ><label class='gfield_label' for='input_1516_5'>Suffix</label><div class='ginput_container'><input name='input_5' id='input_1516_5' type='text' value='' class='medium'  tabindex='7'  /></div></li><li id='field_1516_52' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1516_7' class='gfield  gsection' ><h2 class='gsection_title'>Passenger #1: Contact Information</h2></li><li id='field_1516_15' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1516_15_1'>Address Information<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_1516_15'><span class='ginput_full' id='input_1516_15_1_container'><input type='text' name='input_15.1' id='input_1516_15_1' value='' tabindex='8' /><label for='input_1516_15_1' id='input_1516_15_1_label'>Street Address</label></span><span class='ginput_full' id='input_1516_15_2_container' ><input type='text' name='input_15.2' id='input_1516_15_2' value='' tabindex='9' /><label for='input_1516_15_2' id='input_1516_15_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1516_15_3_container'><input type='text' name='input_15.3' id='input_1516_15_3' value='' tabindex='10' /><label for='input_1516_15_3' id='input_1516_15.3_label'>City</label></span><span class='ginput_right' id='input_1516_15_4_container' ><select name='input_15.4' id='input_1516_15.4' tabindex='11'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1516_15.4' id='input_1516_15_4_label'>State</label></span><span class='ginput_left' id='input_1516_15_5_container'><input type='text' name='input_15.5' id='input_1516_15_5' value='' tabindex='13' /><label for='input_1516_15_5' id='input_1516_15_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_15.6' id='input_1516_15_6' value='United States'/></div></li><li id='field_1516_16' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1516_16'>Phone (1)<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_16' id='input_1516_16' type='text' value='' class='medium' tabindex='14' /></div></li><li id='field_1516_17' class='gfield' ><label class='gfield_label' for='input_1516_17'>Phone (2)</label><div class='ginput_container'><input name='input_17' id='input_1516_17' type='text' value='' class='medium' tabindex='15' /></div></li><li id='field_1516_14' class='gfield' ><label class='gfield_label' for='input_1516_14'>Email Address</label><div class='ginput_container'><input name='input_14' id='input_1516_14' type='text' value='' class='medium'  tabindex='16'  /></div></li><li id='field_1516_18' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1516_18'>Date of Birth<span class='gfield_required'>*</span></label><div class='clear-multi'><div class='gfield_date_month ginput_container' id='input_1516_18'><input type='text' maxlength='2' name='input_18[]' id='input_1516_18.1' value='' tabindex='17' /><label for='input_1516_18.1'>MM</label></div><div class='gfield_date_day ginput_container' id='input_1516_18'><input type='text' maxlength='2' name='input_18[]' id='input_1516_18.2' value='' tabindex='18' /><label for='input_1516_18.2'>DD</label></div><div class='gfield_date_year ginput_container' id='input_1516_18'><input type='text' maxlength='4' name='input_18[]' id='input_1516_18.3' value='' tabindex='19' /><label for='input_1516_18.3'>YYYY</label></div></div></li><li id='field_1516_20' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1516_20'>Gender<span class='gfield_required'>*</span></label><div class='ginput_container'><select name='input_20' id='input_1516_20'  class='medium gfield_select' tabindex='20' ><option value='' selected='selected'>Select one...</option><option value='Male' >Male</option><option value='Female' >Female</option></select></div></li><li id='field_1516_54' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1516_24' class='gfield  gsection' ><h2 class='gsection_title'>Passenger  #1: Emergency Contact Information</h2></li><li id='field_1516_26' class='gfield' ><label class='gfield_label' for='input_1516_26.3'>Name</label><div class='ginput_complex ginput_container' id='input_1516_26'><span id='input_1516_26_3_container' class='ginput_left'><input type='text' name='input_26.3' id='input_1516_26_3' value='' tabindex='21' /><label for='input_1516_26_3'>First</label></span><span id='input_1516_26_6_container' class='ginput_right'><input type='text' name='input_26.6' id='input_1516_26_6' value='' tabindex='22' /><label for='input_1516_26_6'>Last</label></span></div></li><li id='field_1516_27' class='gfield' ><label class='gfield_label' for='input_1516_27'>Phone (1)</label><div class='ginput_container'><input name='input_27' id='input_1516_27' type='text' value='' class='medium' tabindex='23' /></div></li><li id='field_1516_28' class='gfield' ><label class='gfield_label' for='input_1516_28'>Phone (2)</label><div class='ginput_container'><input name='input_28' id='input_1516_28' type='text' value='' class='medium' tabindex='24' /></div></li><li id='field_1516_29' class='gfield' ><label class='gfield_label' for='input_1516_29'>Relationship to Passenger</label><div class='ginput_container'><input name='input_29' id='input_1516_29' type='text' value='' class='medium'  tabindex='25'  /></div></li><li id='field_1516_49' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1516_21' class='gfield  gsection' ><h2 class='gsection_title'>Special Trip Details and Requests</h2></li><li id='field_1516_22' class='gfield' ><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1516_22'><li class='gchoice_22_1'><input name='input_22.1' type='checkbox'  value='*Special dietary concerns / requests'  id='choice_22_1' tabindex='26'  /><label for='choice_22_1'>*Special dietary concerns / requests</label></li><li class='gchoice_22_2'><input name='input_22.2' type='checkbox'  value='Wheelchair requirement'  id='choice_22_2' tabindex='27'  /><label for='choice_22_2'>Wheelchair requirement</label></li><li class='gchoice_22_3'><input name='input_22.3' type='checkbox'  value='Others (please contact me)'  id='choice_22_3' tabindex='28'  /><label for='choice_22_3'>Others (please contact me)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1516_145' class='gfield' ><label class='gfield_label' for='input_1516_145'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_145' id='input_1516_145' type='text' value='' class='medium'  tabindex='29'  /></div></li><li id='field_1516_25' class='gfield' ><label class='gfield_label' for='input_1516_25'>I would like to travel and/or room with these people:</label><div class='ginput_container'><textarea name='input_25' id='input_1516_25' class='textarea small' tabindex='30'  rows='10' cols='50'></textarea></div></li><li id='field_1516_126' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1516_150' class='gfield' ><label class='gfield_label'>Registering an additional passenger?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1516_150'><li class='gchoice_150_1'><input name='input_150.1' type='checkbox' onclick='gf_apply_rules(1516,[153,153,143,136,143,136,129,129,154,155,156,157,158,139,154,155,156,157,158,139,128,128,122,124,125,123,151,133,141,122,124,125,123,151,133,141,135,135,137,138,142,137,138,142,30,30,31,32,33,34,31,32,33,34,160,160,162,162]);' value='Yes'  id='choice_150_1' tabindex='31'  /><label for='choice_150_1'>Yes</label></li></ul></div></li><li id='field_1516_127' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1516_153' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2 Flight Request</h2></li><li id='field_1516_143' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_143'>Passenger #2: Departure Airport</label><div class='ginput_container'><input name='input_143' id='input_1516_143' type='text' value='' class='medium'  tabindex='32'  /></div><div class='gfield_description'>Please include the airport that you would like to depart from</div></li><li id='field_1516_136' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_136'>Seat Preferences</label><div class='ginput_container'><select name='input_136' id='input_1516_136'  class='medium gfield_select' tabindex='33' ><option value='No Preference' >No Preference</option><option value='Window Seat' >Window Seat</option><option value='Middle Seat' >Middle Seat</option><option value='Aisle Seat' >Aisle Seat</option><option value='No Preference' >No Preference</option></select></div></li><li id='field_1516_159' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div>
</li><li id='field_1516_129' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Name Information</h2></li><li id='field_1516_154' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_154'>Prefix</label><div class='ginput_container'><input name='input_154' id='input_1516_154' type='text' value='' class='medium'  tabindex='34'  /></div></li><li id='field_1516_155' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_155'>First Name </label><div class='ginput_container'><input name='input_155' id='input_1516_155' type='text' value='' class='medium'  tabindex='35'  /></div></li><li id='field_1516_156' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_156'>Middle Name or Initial (As it appears on passport)</label><div class='ginput_container'><input name='input_156' id='input_1516_156' type='text' value='' class='medium'  tabindex='36'  /></div></li><li id='field_1516_157' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_157'>Last Name</label><div class='ginput_container'><input name='input_157' id='input_1516_157' type='text' value='' class='medium'  tabindex='37'  /></div></li><li id='field_1516_158' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_158'>Suffix</label><div class='ginput_container'><input name='input_158' id='input_1516_158' type='text' value='' class='medium'  tabindex='38'  /></div></li><li id='field_1516_139' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1516_128' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Contact Information (If different from Passenger #1)</h2></li><li id='field_1516_122' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_122_1'>Passenger #2: Address</label><div class='ginput_complex ginput_container' id='input_1516_122'><span class='ginput_full' id='input_1516_122_1_container'><input type='text' name='input_122.1' id='input_1516_122_1' value='' tabindex='39' /><label for='input_1516_122_1' id='input_1516_122_1_label'>Street Address</label></span><span class='ginput_full' id='input_1516_122_2_container' ><input type='text' name='input_122.2' id='input_1516_122_2' value='' tabindex='40' /><label for='input_1516_122_2' id='input_1516_122_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1516_122_3_container'><input type='text' name='input_122.3' id='input_1516_122_3' value='' tabindex='41' /><label for='input_1516_122_3' id='input_1516_122.3_label'>City</label></span><span class='ginput_right' id='input_1516_122_4_container' ><select name='input_122.4' id='input_1516_122.4' tabindex='42'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1516_122.4' id='input_1516_122_4_label'>State</label></span><span class='ginput_left' id='input_1516_122_5_container'><input type='text' name='input_122.5' id='input_1516_122_5' value='' tabindex='44' /><label for='input_1516_122_5' id='input_1516_122_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_122.6' id='input_1516_122_6' value='United States'/></div></li><li id='field_1516_124' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_124'>Passenger #2: Phone (1)</label><div class='ginput_container'><input name='input_124' id='input_1516_124' type='text' value='' class='medium' tabindex='45' /></div></li><li id='field_1516_125' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_125'>Passenger #2: Phone (2)</label><div class='ginput_container'><input name='input_125' id='input_1516_125' type='text' value='' class='medium' tabindex='46' /></div></li><li id='field_1516_123' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_123'>Passenger #2: Email Address</label><div class='ginput_container'><input name='input_123' id='input_1516_123' type='text' value='' class='medium'  tabindex='47'  /></div></li><li id='field_1516_151' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_151'>Date of Birth</label><div class='clear-multi'><div class='gfield_date_month ginput_container' id='input_1516_151'><input type='text' maxlength='2' name='input_151[]' id='input_1516_151.1' value='' tabindex='48' /><label for='input_1516_151.1'>MM</label></div><div class='gfield_date_day ginput_container' id='input_1516_151'><input type='text' maxlength='2' name='input_151[]' id='input_1516_151.2' value='' tabindex='49' /><label for='input_1516_151.2'>DD</label></div><div class='gfield_date_year ginput_container' id='input_1516_151'><input type='text' maxlength='4' name='input_151[]' id='input_1516_151.3' value='' tabindex='50' /><label for='input_1516_151.3'>YYYY</label></div></div></li><li id='field_1516_133' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_133'>Gender</label><div class='ginput_container'><select name='input_133' id='input_1516_133'  class='small gfield_select' tabindex='51' ><option value='Please select ...' >Please select ...</option><option value='Male' >Male</option><option value='Female' >Female</option></select></div></li><li id='field_1516_141' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1516_135' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Special Trip Details &amp; Requests</h2></li><li id='field_1516_137' class='gfield' style='display:none;'><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1516_137'><li class='gchoice_137_1'><input name='input_137.1' type='checkbox'  value='*Special dietary concerns/requests'  id='choice_137_1' tabindex='52'  /><label for='choice_137_1'>*Special dietary concerns/requests</label></li><li class='gchoice_137_2'><input name='input_137.2' type='checkbox'  value='Wheelchair requirements'  id='choice_137_2' tabindex='53'  /><label for='choice_137_2'>Wheelchair requirements</label></li><li class='gchoice_137_3'><input name='input_137.3' type='checkbox'  value='Others (Please contact me.)'  id='choice_137_3' tabindex='54'  /><label for='choice_137_3'>Others (Please contact me.)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1516_138' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_138'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_138' id='input_1516_138' type='text' value='' class='medium'  tabindex='55'  /></div></li><li id='field_1516_142' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1516_30' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Emergency Contact Information </h2></li><li id='field_1516_31' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_31.3'>Name</label><div class='ginput_complex ginput_container' id='input_1516_31'><span id='input_1516_31_3_container' class='ginput_left'><input type='text' name='input_31.3' id='input_1516_31_3' value='' tabindex='56' /><label for='input_1516_31_3'>First</label></span><span id='input_1516_31_6_container' class='ginput_right'><input type='text' name='input_31.6' id='input_1516_31_6' value='' tabindex='57' /><label for='input_1516_31_6'>Last</label></span></div></li><li id='field_1516_32' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_32'>Phone (1)</label><div class='ginput_container'><input name='input_32' id='input_1516_32' type='text' value='' class='medium' tabindex='58' /></div></li><li id='field_1516_33' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_33'>Phone (2)</label><div class='ginput_container'><input name='input_33' id='input_1516_33' type='text' value='' class='medium' tabindex='59' /></div></li><li id='field_1516_34' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_34'>Relationship to Passenger</label><div class='ginput_container'><input name='input_34' id='input_1516_34' type='text' value='' class='medium'  tabindex='60'  /></div></li><li id='field_1516_163' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1516_160' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>If signing up more than 2 passengers please include their name and date of birth in the additional comments field located at the bottom of the form.</h2></li><li id='field_1516_162' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1516_38' class='gfield  gsection' ><h2 class='gsection_title'>Purchasing Options</h2><div class='gsection_description'>In order to register and save your place on the trip, a $500 non-refundable deposit is required per passenger. Payment in full must be received at 857 West Boylston St. Worcester, MA 01606, 90 days prior to trip date.</div></li><li id='field_1516_116' class='gfield           gfield_price gfield_price_1516_116 gfield_product_1516_116' ><label class='gfield_label' for='input_1516_116'>Deposit</label><div class='ginput_container'><input type='hidden' name='input_116.1' value='Deposit' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1516_116'>$500.00</span><input type='hidden' name='input_116.2' id='ginput_base_price_1516_116' class='gform_hidden' value='$500.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_116.3' value='' id='ginput_quantity_1516_116' class='ginput_quantity' size='10' tabindex='61'/></div><div class='gfield_description'>There is NO 3% surcharge on this option. DO NOT Choose this option if paying the Total Trip Price.</div></li><li id='field_1516_117' class='gfield           gfield_price gfield_price_1516_117 gfield_product_1516_117' ><label class='gfield_label' for='input_1516_117'>Travel Cancellation Protection</label><div class='ginput_container'><input type='hidden' name='input_117.1' value='Travel Cancellation Protection' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1516_117'>$200.00</span><input type='hidden' name='input_117.2' id='ginput_base_price_1516_117' class='gform_hidden' value='$200.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_117.3' value='' id='ginput_quantity_1516_117' class='ginput_quantity' size='10' tabindex='62'/></div><div class='gfield_description'>There is NO 3% surcharge on this option.</div></li><li id='field_1516_115' class='gfield           gfield_price gfield_price_1516_115 gfield_product_1516_115' ><label class='gfield_label' for='input_1516_115'>Single Supplement</label><div class='ginput_container'><input type='hidden' name='input_115.1' value='Single Supplement' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1516_115'>$700.00</span><input type='hidden' name='input_115.2' id='ginput_base_price_1516_115' class='gform_hidden' value='$700.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_115.3' value='' id='ginput_quantity_1516_115' class='ginput_quantity' size='10' tabindex='63'/></div><div class='gfield_description'>If you are traveling by yourself and prefer your own room.
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There is NO 3% surcharge on your deposit or travel cancellation protection if payment is made by credit/debit card.  There is a 3% surcharge if you pay your remaining balance with a credit/debit card.  For this trip, the credit/debit surcharge is $92.97.</div></li><li id='field_1516_96' class='gfield            gfield_price gfield_price_1516_96 gfield_donation_1516_96' ><label class='gfield_label' for='input_1516_96'>Custom Amount</label><div class='ginput_container'><input name='input_96' id='input_1516_96' type='text' value='' class='medium' tabindex='65' /></div></li><li id='field_1516_46' class='gfield' ><label class='gfield_label' for='input_1516_46'>Total</label><div class='ginput_container'><span class='ginput_total ginput_total_1516'>$0.00</span><input type='hidden' name='input_46' id='input_1516_46' class='gform_hidden'/></div></li><li id='field_1516_108' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1516_73' class='gfield  gsection' ><h2 class='gsection_title'>Payment Information</h2></li><li id='field_1516_79' class='gfield' ><label class='gfield_label' for='input_1516_79'>Payment Type</label><div class='ginput_container'><select name='input_79' id='input_1516_79' onchange='gf_apply_rules(1516,[97,98,99,100,101]);' class='medium gfield_select' tabindex='66' ><option value='Credit Card or Debit Card' >Credit Card or Debit Card</option><option value='Money Order' >Money Order</option><option value='Cash' >Cash</option><option value='Check' >Check</option></select></div></li><li id='field_1516_97' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_97'>Name On Card</label><div class='ginput_container'><input name='input_97' id='input_1516_97' type='text' value='' class='medium'  tabindex='67'  /></div></li><li id='field_1516_98' class='gfield' style='display:none;'><label class='gfield_label' for='input_1516_98'>Credit Card or Debit Card Number</label><div class='ginput_container'><input name='input_98' id='input_1516_98' type='text' value='' class='medium' tabindex='68' /></div></li><li id='field_1516_99' class='gfield' 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value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1516_77.4' id='input_1516_77_4_label'>State</label></span><span class='ginput_left' id='input_1516_77_5_container'><input type='text' name='input_77.5' id='input_1516_77_5' value='' tabindex='78' /><label for='input_1516_77_5' id='input_1516_77_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_77.6' 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			<wfw:commentRss>http://www.proximotravel.com/priest-trip/fr-briese-michael-holy-name-parish-washington-dc-ir-2013-june-22-30/feed/</wfw:commentRss>
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		</item>
		<item>
		<title>Fr. Giovanoni, Peter &#8211; Our Lady Queen of Peace Parish, Washington, DC &#8211; IWS (2013, April 20 &#8211; May 02)</title>
		<link>http://www.proximotravel.com/priest-trip/fr-giovanoni-peter-our-lady-queen-of-peace-parish-washington-dc-iws-2013-april-20-may-02/</link>
		<comments>http://www.proximotravel.com/priest-trip/fr-giovanoni-peter-our-lady-queen-of-peace-parish-washington-dc-iws-2013-april-20-may-02/#comments</comments>
		<pubDate>Thu, 17 May 2012 15:27:09 +0000</pubDate>
		<dc:creator>Lynne</dc:creator>
				<category><![CDATA[Italy Wide & Switzerland - Priest Trips]]></category>
		<category><![CDATA[Priest Trips]]></category>

		<guid isPermaLink="false">http://www.proximotravel.com/?p=9722</guid>
		<description><![CDATA[Rome • Sorrento • Capri • Amalfi Coast • Pompeii • Tuscany • Florence • Venice • Lake Como • Milan • Switzerland Fr. Peter Giovanoni, Pastor Our Lady Queen of Peace Parish, Washington, DC Date in 2013 April 20 &#8211; May 02 $4,499 13 Days Airfare Included]]></description>
			<content:encoded><![CDATA[<h3 style="text-align: center;">Rome • Sorrento • Capri • Amalfi Coast • Pompeii • Tuscany • Florence • Venice •<br />
Lake Como • Milan • Switzerland</h3>
<hr />
<h2>Fr. Peter Giovanoni, Pastor<br />
Our Lady Queen of Peace Parish, Washington, DC</h2>
<h3>Date in 2013</h3>
<ul>
<li>April 20 &#8211; May 02</li>
<li>$4,499 13 Days</li>
<li>Airfare Included</li>
</ul>

                <div class='gform_wrapper' id='gform_wrapper_1515' style='display:none'><form method='post' enctype='multipart/form-data'  id='gform_1515'  action='/feed/'>
                        <div class='gform_heading'>
                            <span class='gform_description'>Please fill out the form below with your details to reserve your trip now.</span>
                        </div>
                        <div class='gform_body'>
                            <ul id='gform_fields_1515' class='gform_fields top_label'><li id='field_1515_50' class='gfield     gform_hidden' ><input name='input_50' id='input_1515_50' type='hidden' class='gform_hidden' value='Fr. Giovanoni, Peter - Our Lady Queen of Peace Parish, Washington, DC - IWS (2013, April 20 - May 02)' /></li><li id='field_1515_55' class='gfield     gform_hidden' ><input name='input_55' id='input_1515_55' type='hidden' class='gform_hidden' value='05/20/2012' /></li><li id='field_1515_152' class='gfield  gsection' ><h2 class='gsection_title'>Passenger #1 Flight Request</h2></li><li id='field_1515_60' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1515_60'>Departure Airport<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_60' id='input_1515_60' type='text' value='' class='medium'  tabindex='1'  /></div><div class='gfield_description'>Please include the airport that you would like to depart from</div></li><li id='field_1515_85' class='gfield' ><label class='gfield_label' for='input_1515_85'>Seating Preference</label><div class='ginput_container'><select name='input_85' id='input_1515_85'  class='medium gfield_select' tabindex='2' ><option value='No Preference' >No Preference</option><option value='Window Seat' >Window Seat</option><option value='Middle Seat' >Middle Seat</option><option value='Aisle Seat' >Aisle Seat</option><option value='No Preference' >No Preference</option></select></div></li><li id='field_1515_161' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1515_23' class='gfield  gsection' ><h2 class='gsection_title'> Passenger #1: Name Information</h2></li><li id='field_1515_2' class='gfield' ><label class='gfield_label' for='input_1515_2'>Prefix</label><div class='ginput_container'><select name='input_2' id='input_1515_2'  class='medium gfield_select' tabindex='3' ><option value='Please select one...' >Please select one...</option><option value='Msgr.' >Msgr.</option><option value='Fr.' >Fr.</option><option value='Dr.' >Dr.</option><option value='Mr.' >Mr.</option><option value='Mrs.' >Mrs.</option><option value='Ms.' >Ms.</option></select></div></li><li id='field_1515_1' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1515_1'>First Name<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_1' id='input_1515_1' type='text' value='' class='medium'  tabindex='4'  /></div></li><li id='field_1515_4' class='gfield' ><label class='gfield_label' for='input_1515_4'>Middle Name or Initial (As it appears on passport)</label><div class='ginput_container'><input name='input_4' id='input_1515_4' type='text' value='' class='medium'  tabindex='5'  /></div></li><li id='field_1515_3' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1515_3'>Last Name<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_3' id='input_1515_3' type='text' value='' class='medium'  tabindex='6'  /></div></li><li id='field_1515_5' class='gfield' ><label class='gfield_label' for='input_1515_5'>Suffix</label><div class='ginput_container'><input name='input_5' id='input_1515_5' type='text' value='' class='medium'  tabindex='7'  /></div></li><li id='field_1515_52' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1515_7' class='gfield  gsection' ><h2 class='gsection_title'>Passenger #1: Contact Information</h2></li><li id='field_1515_15' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1515_15_1'>Address Information<span class='gfield_required'>*</span></label><div class='ginput_complex ginput_container' id='input_1515_15'><span class='ginput_full' id='input_1515_15_1_container'><input type='text' name='input_15.1' id='input_1515_15_1' value='' tabindex='8' /><label for='input_1515_15_1' id='input_1515_15_1_label'>Street Address</label></span><span class='ginput_full' id='input_1515_15_2_container' ><input type='text' name='input_15.2' id='input_1515_15_2' value='' tabindex='9' /><label for='input_1515_15_2' id='input_1515_15_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1515_15_3_container'><input type='text' name='input_15.3' id='input_1515_15_3' value='' tabindex='10' /><label for='input_1515_15_3' id='input_1515_15.3_label'>City</label></span><span class='ginput_right' id='input_1515_15_4_container' ><select name='input_15.4' id='input_1515_15.4' tabindex='11'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1515_15.4' id='input_1515_15_4_label'>State</label></span><span class='ginput_left' id='input_1515_15_5_container'><input type='text' name='input_15.5' id='input_1515_15_5' value='' tabindex='13' /><label for='input_1515_15_5' id='input_1515_15_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_15.6' id='input_1515_15_6' value='United States'/></div></li><li id='field_1515_16' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1515_16'>Phone (1)<span class='gfield_required'>*</span></label><div class='ginput_container'><input name='input_16' id='input_1515_16' type='text' value='' class='medium' tabindex='14' /></div></li><li id='field_1515_17' class='gfield' ><label class='gfield_label' for='input_1515_17'>Phone (2)</label><div class='ginput_container'><input name='input_17' id='input_1515_17' type='text' value='' class='medium' tabindex='15' /></div></li><li id='field_1515_14' class='gfield' ><label class='gfield_label' for='input_1515_14'>Email Address</label><div class='ginput_container'><input name='input_14' id='input_1515_14' type='text' value='' class='medium'  tabindex='16'  /></div></li><li id='field_1515_18' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1515_18'>Date of Birth<span class='gfield_required'>*</span></label><div class='clear-multi'><div class='gfield_date_month ginput_container' id='input_1515_18'><input type='text' maxlength='2' name='input_18[]' id='input_1515_18.1' value='' tabindex='17' /><label for='input_1515_18.1'>MM</label></div><div class='gfield_date_day ginput_container' id='input_1515_18'><input type='text' maxlength='2' name='input_18[]' id='input_1515_18.2' value='' tabindex='18' /><label for='input_1515_18.2'>DD</label></div><div class='gfield_date_year ginput_container' id='input_1515_18'><input type='text' maxlength='4' name='input_18[]' id='input_1515_18.3' value='' tabindex='19' /><label for='input_1515_18.3'>YYYY</label></div></div></li><li id='field_1515_20' class='gfield               gfield_contains_required' ><label class='gfield_label' for='input_1515_20'>Gender<span class='gfield_required'>*</span></label><div class='ginput_container'><select name='input_20' id='input_1515_20'  class='medium gfield_select' tabindex='20' ><option value='' selected='selected'>Select one...</option><option value='Male' >Male</option><option value='Female' >Female</option></select></div></li><li id='field_1515_54' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1515_24' class='gfield  gsection' ><h2 class='gsection_title'>Passenger  #1: Emergency Contact Information</h2></li><li id='field_1515_26' class='gfield' ><label class='gfield_label' for='input_1515_26.3'>Name</label><div class='ginput_complex ginput_container' id='input_1515_26'><span id='input_1515_26_3_container' class='ginput_left'><input type='text' name='input_26.3' id='input_1515_26_3' value='' tabindex='21' /><label for='input_1515_26_3'>First</label></span><span id='input_1515_26_6_container' class='ginput_right'><input type='text' name='input_26.6' id='input_1515_26_6' value='' tabindex='22' /><label for='input_1515_26_6'>Last</label></span></div></li><li id='field_1515_27' class='gfield' ><label class='gfield_label' for='input_1515_27'>Phone (1)</label><div class='ginput_container'><input name='input_27' id='input_1515_27' type='text' value='' class='medium' tabindex='23' /></div></li><li id='field_1515_28' class='gfield' ><label class='gfield_label' for='input_1515_28'>Phone (2)</label><div class='ginput_container'><input name='input_28' id='input_1515_28' type='text' value='' class='medium' tabindex='24' /></div></li><li id='field_1515_29' class='gfield' ><label class='gfield_label' for='input_1515_29'>Relationship to Passenger</label><div class='ginput_container'><input name='input_29' id='input_1515_29' type='text' value='' class='medium'  tabindex='25'  /></div></li><li id='field_1515_49' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1515_21' class='gfield  gsection' ><h2 class='gsection_title'>Special Trip Details and Requests</h2></li><li id='field_1515_22' class='gfield' ><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1515_22'><li class='gchoice_22_1'><input name='input_22.1' type='checkbox'  value='*Special dietary concerns / requests'  id='choice_22_1' tabindex='26'  /><label for='choice_22_1'>*Special dietary concerns / requests</label></li><li class='gchoice_22_2'><input name='input_22.2' type='checkbox'  value='Wheelchair requirement'  id='choice_22_2' tabindex='27'  /><label for='choice_22_2'>Wheelchair requirement</label></li><li class='gchoice_22_3'><input name='input_22.3' type='checkbox'  value='Others (please contact me)'  id='choice_22_3' tabindex='28'  /><label for='choice_22_3'>Others (please contact me)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1515_145' class='gfield' ><label class='gfield_label' for='input_1515_145'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_145' id='input_1515_145' type='text' value='' class='medium'  tabindex='29'  /></div></li><li id='field_1515_25' class='gfield' ><label class='gfield_label' for='input_1515_25'>I would like to travel and/or room with these people:</label><div class='ginput_container'><textarea name='input_25' id='input_1515_25' class='textarea small' tabindex='30'  rows='10' cols='50'></textarea></div></li><li id='field_1515_126' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1515_150' class='gfield' ><label class='gfield_label'>Registering an additional passenger?</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1515_150'><li class='gchoice_150_1'><input name='input_150.1' type='checkbox' onclick='gf_apply_rules(1515,[153,153,143,136,143,136,129,129,154,155,156,157,158,139,154,155,156,157,158,139,128,128,122,124,125,123,151,133,141,122,124,125,123,151,133,141,135,135,137,138,142,137,138,142,30,30,31,32,33,34,31,32,33,34,160,160,162,162]);' value='Yes'  id='choice_150_1' tabindex='31'  /><label for='choice_150_1'>Yes</label></li></ul></div></li><li id='field_1515_127' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1515_153' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2 Flight Request</h2></li><li id='field_1515_143' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_143'>Passenger #2: Departure Airport</label><div class='ginput_container'><input name='input_143' id='input_1515_143' type='text' value='' class='medium'  tabindex='32'  /></div><div class='gfield_description'>Please include the airport that you would like to depart from</div></li><li id='field_1515_136' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_136'>Seat Preferences</label><div class='ginput_container'><select name='input_136' id='input_1515_136'  class='medium gfield_select' tabindex='33' ><option value='No Preference' >No Preference</option><option value='Window Seat' >Window Seat</option><option value='Middle Seat' >Middle Seat</option><option value='Aisle Seat' >Aisle Seat</option><option value='No Preference' >No Preference</option></select></div></li><li id='field_1515_159' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div>
</li><li id='field_1515_129' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Name Information</h2></li><li id='field_1515_154' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_154'>Prefix</label><div class='ginput_container'><input name='input_154' id='input_1515_154' type='text' value='' class='medium'  tabindex='34'  /></div></li><li id='field_1515_155' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_155'>First Name </label><div class='ginput_container'><input name='input_155' id='input_1515_155' type='text' value='' class='medium'  tabindex='35'  /></div></li><li id='field_1515_156' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_156'>Middle Name or Initial (As it appears on passport)</label><div class='ginput_container'><input name='input_156' id='input_1515_156' type='text' value='' class='medium'  tabindex='36'  /></div></li><li id='field_1515_157' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_157'>Last Name</label><div class='ginput_container'><input name='input_157' id='input_1515_157' type='text' value='' class='medium'  tabindex='37'  /></div></li><li id='field_1515_158' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_158'>Suffix</label><div class='ginput_container'><input name='input_158' id='input_1515_158' type='text' value='' class='medium'  tabindex='38'  /></div></li><li id='field_1515_139' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1515_128' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Contact Information (If different from Passenger #1)</h2></li><li id='field_1515_122' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_122_1'>Passenger #2: Address</label><div class='ginput_complex ginput_container' id='input_1515_122'><span class='ginput_full' id='input_1515_122_1_container'><input type='text' name='input_122.1' id='input_1515_122_1' value='' tabindex='39' /><label for='input_1515_122_1' id='input_1515_122_1_label'>Street Address</label></span><span class='ginput_full' id='input_1515_122_2_container' ><input type='text' name='input_122.2' id='input_1515_122_2' value='' tabindex='40' /><label for='input_1515_122_2' id='input_1515_122_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1515_122_3_container'><input type='text' name='input_122.3' id='input_1515_122_3' value='' tabindex='41' /><label for='input_1515_122_3' id='input_1515_122.3_label'>City</label></span><span class='ginput_right' id='input_1515_122_4_container' ><select name='input_122.4' id='input_1515_122.4' tabindex='42'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1515_122.4' id='input_1515_122_4_label'>State</label></span><span class='ginput_left' id='input_1515_122_5_container'><input type='text' name='input_122.5' id='input_1515_122_5' value='' tabindex='44' /><label for='input_1515_122_5' id='input_1515_122_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_122.6' id='input_1515_122_6' value='United States'/></div></li><li id='field_1515_124' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_124'>Passenger #2: Phone (1)</label><div class='ginput_container'><input name='input_124' id='input_1515_124' type='text' value='' class='medium' tabindex='45' /></div></li><li id='field_1515_125' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_125'>Passenger #2: Phone (2)</label><div class='ginput_container'><input name='input_125' id='input_1515_125' type='text' value='' class='medium' tabindex='46' /></div></li><li id='field_1515_123' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_123'>Passenger #2: Email Address</label><div class='ginput_container'><input name='input_123' id='input_1515_123' type='text' value='' class='medium'  tabindex='47'  /></div></li><li id='field_1515_151' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_151'>Date of Birth</label><div class='clear-multi'><div class='gfield_date_month ginput_container' id='input_1515_151'><input type='text' maxlength='2' name='input_151[]' id='input_1515_151.1' value='' tabindex='48' /><label for='input_1515_151.1'>MM</label></div><div class='gfield_date_day ginput_container' id='input_1515_151'><input type='text' maxlength='2' name='input_151[]' id='input_1515_151.2' value='' tabindex='49' /><label for='input_1515_151.2'>DD</label></div><div class='gfield_date_year ginput_container' id='input_1515_151'><input type='text' maxlength='4' name='input_151[]' id='input_1515_151.3' value='' tabindex='50' /><label for='input_1515_151.3'>YYYY</label></div></div></li><li id='field_1515_133' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_133'>Gender</label><div class='ginput_container'><select name='input_133' id='input_1515_133'  class='small gfield_select' tabindex='51' ><option value='Please select ...' >Please select ...</option><option value='Male' >Male</option><option value='Female' >Female</option></select></div></li><li id='field_1515_141' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1515_135' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Special Trip Details &amp; Requests</h2></li><li id='field_1515_137' class='gfield' style='display:none;'><label class='gfield_label'>I have the following special requests:</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1515_137'><li class='gchoice_137_1'><input name='input_137.1' type='checkbox'  value='*Special dietary concerns/requests'  id='choice_137_1' tabindex='52'  /><label for='choice_137_1'>*Special dietary concerns/requests</label></li><li class='gchoice_137_2'><input name='input_137.2' type='checkbox'  value='Wheelchair requirements'  id='choice_137_2' tabindex='53'  /><label for='choice_137_2'>Wheelchair requirements</label></li><li class='gchoice_137_3'><input name='input_137.3' type='checkbox'  value='Others (Please contact me.)'  id='choice_137_3' tabindex='54'  /><label for='choice_137_3'>Others (Please contact me.)</label></li></ul></div><div class='gfield_description'>Please select all that apply.</div></li><li id='field_1515_138' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_138'>*List dietary concerns/requests</label><div class='ginput_container'><input name='input_138' id='input_1515_138' type='text' value='' class='medium'  tabindex='55'  /></div></li><li id='field_1515_142' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1515_30' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>Passenger #2: Emergency Contact Information </h2></li><li id='field_1515_31' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_31.3'>Name</label><div class='ginput_complex ginput_container' id='input_1515_31'><span id='input_1515_31_3_container' class='ginput_left'><input type='text' name='input_31.3' id='input_1515_31_3' value='' tabindex='56' /><label for='input_1515_31_3'>First</label></span><span id='input_1515_31_6_container' class='ginput_right'><input type='text' name='input_31.6' id='input_1515_31_6' value='' tabindex='57' /><label for='input_1515_31_6'>Last</label></span></div></li><li id='field_1515_32' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_32'>Phone (1)</label><div class='ginput_container'><input name='input_32' id='input_1515_32' type='text' value='' class='medium' tabindex='58' /></div></li><li id='field_1515_33' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_33'>Phone (2)</label><div class='ginput_container'><input name='input_33' id='input_1515_33' type='text' value='' class='medium' tabindex='59' /></div></li><li id='field_1515_34' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_34'>Relationship to Passenger</label><div class='ginput_container'><input name='input_34' id='input_1515_34' type='text' value='' class='medium'  tabindex='60'  /></div></li><li id='field_1515_163' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1515_160' class='gfield  gsection' style='display:none;'><h2 class='gsection_title'>If signing up more than 2 passengers please include their name and date of birth in the additional comments field located at the bottom of the form.</h2></li><li id='field_1515_162' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' style='display:none;'><div style="height:30px;">&nbsp;</div></li><li id='field_1515_38' class='gfield  gsection' ><h2 class='gsection_title'>Purchasing Options</h2><div class='gsection_description'>In order to register and save your place on the trip, a $500 non-refundable deposit is required per passenger. Payment in full must be received at 857 West Boylston St. Worcester, MA 01606, 90 days prior to trip date.</div></li><li id='field_1515_116' class='gfield           gfield_price gfield_price_1515_116 gfield_product_1515_116' ><label class='gfield_label' for='input_1515_116'>Deposit</label><div class='ginput_container'><input type='hidden' name='input_116.1' value='Deposit' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1515_116'>$500.00</span><input type='hidden' name='input_116.2' id='ginput_base_price_1515_116' class='gform_hidden' value='$500.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_116.3' value='' id='ginput_quantity_1515_116' class='ginput_quantity' size='10' tabindex='61'/></div><div class='gfield_description'>There is NO 3% surcharge on this option. DO NOT Choose this option if paying the Total Trip Price.</div></li><li id='field_1515_117' class='gfield           gfield_price gfield_price_1515_117 gfield_product_1515_117' ><label class='gfield_label' for='input_1515_117'>Travel Cancellation Protection</label><div class='ginput_container'><input type='hidden' name='input_117.1' value='Travel Cancellation Protection' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1515_117'>$200.00</span><input type='hidden' name='input_117.2' id='ginput_base_price_1515_117' class='gform_hidden' value='$200.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_117.3' value='' id='ginput_quantity_1515_117' class='ginput_quantity' size='10' tabindex='62'/></div><div class='gfield_description'>There is NO 3% surcharge on this option.</div></li><li id='field_1515_115' class='gfield           gfield_price gfield_price_1515_115 gfield_product_1515_115' ><label class='gfield_label' for='input_1515_115'>Single Supplement</label><div class='ginput_container'><input type='hidden' name='input_115.1' value='Single Supplement' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1515_115'>$700.00</span><input type='hidden' name='input_115.2' id='ginput_base_price_1515_115' class='gform_hidden' value='$700.00'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_115.3' value='' id='ginput_quantity_1515_115' class='ginput_quantity' size='10' tabindex='63'/></div><div class='gfield_description'>If you are traveling by yourself and prefer your own room.
There is NO 3% surcharge on this option.</div></li><li id='field_1515_119' class='gfield           gfield_price gfield_price_1515_119 gfield_product_1515_119' ><label class='gfield_label' for='input_1515_119'>*Total Trip Price</label><div class='ginput_container'><input type='hidden' name='input_119.1' value='*Total Trip Price' class='gform_hidden' /><span class='ginput_product_price_label'>Price:</span> <span class='ginput_product_price' id='input_1515_119'>$4,618.97</span><input type='hidden' name='input_119.2' id='ginput_base_price_1515_119' class='gform_hidden' value='$4,618.97'/> <span class='ginput_quantity_label'>Quantity:</span> <input type='text' name='input_119.3' value='' id='ginput_quantity_1515_119' class='ginput_quantity' size='10' tabindex='64'/></div><div class='gfield_description'>* This option includes the $500 deposit.
There is NO 3% surcharge on your deposit or travel cancellation protection if payment is made by credit/debit card.  There is a 3% surcharge if you pay your remaining balance with a credit/debit card.  For this trip, the credit/debit surcharge is $119.97.</div></li><li id='field_1515_96' class='gfield            gfield_price gfield_price_1515_96 gfield_donation_1515_96' ><label class='gfield_label' for='input_1515_96'>Custom Amount</label><div class='ginput_container'><input name='input_96' id='input_1515_96' type='text' value='' class='medium' tabindex='65' /></div></li><li id='field_1515_46' class='gfield' ><label class='gfield_label' for='input_1515_46'>Total</label><div class='ginput_container'><span class='ginput_total ginput_total_1515'>$0.00</span><input type='hidden' name='input_46' id='input_1515_46' class='gform_hidden'/></div></li><li id='field_1515_108' class='gfield      gfield_html gfield_html_formatted gfield_no_follows_desc' ><div style="height:30px;">&nbsp;</div></li><li id='field_1515_73' class='gfield  gsection' ><h2 class='gsection_title'>Payment Information</h2></li><li id='field_1515_79' class='gfield' ><label class='gfield_label' for='input_1515_79'>Payment Type</label><div class='ginput_container'><select name='input_79' id='input_1515_79' onchange='gf_apply_rules(1515,[97,98,99,100,101]);' class='medium gfield_select' tabindex='66' ><option value='Credit Card or Debit Card' >Credit Card or Debit Card</option><option value='Money Order' >Money Order</option><option value='Cash' >Cash</option><option value='Check' >Check</option></select></div></li><li id='field_1515_97' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_97'>Name On Card</label><div class='ginput_container'><input name='input_97' id='input_1515_97' type='text' value='' class='medium'  tabindex='67'  /></div></li><li id='field_1515_98' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_98'>Credit Card or Debit Card Number</label><div class='ginput_container'><input name='input_98' id='input_1515_98' type='text' value='' class='medium' tabindex='68' /></div></li><li id='field_1515_99' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_99'>CVV</label><div class='ginput_container'><input name='input_99' id='input_1515_99' type='text' value='' class='small' tabindex='69' /></div></li><li id='field_1515_100' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_100'>Expiration Month</label><div class='ginput_container'><select name='input_100' id='input_1515_100'  class='small gfield_select' tabindex='70' ><option value='01' >January</option><option value='02' >February</option><option value='03' >March</option><option value='04' >April</option><option value='05' >May</option><option value='06' >June</option><option value='07' >July</option><option value='08' >August</option><option value='09' >September</option><option value='10' >October</option><option value='11' >November</option><option value='12' >December</option></select></div></li><li id='field_1515_101' class='gfield' style='display:none;'><label class='gfield_label' for='input_1515_101'>Expiration Year</label><div class='ginput_container'><select name='input_101' id='input_1515_101'  class='small gfield_select' tabindex='71' ><option value='12' >2012</option><option value='13' >2013</option><option value='14' >2014</option><option value='15' >2015</option><option value='16' >2016</option><option value='17' >2017</option><option value='18' >2018</option><option value='19' >2019</option><option value='20' >2020</option><option value='21' >2021</option><option value='22' >2022</option><option value='23' >2023</option><option value='24' >2024</option><option value='25' >2025</option></select></div></li><li id='field_1515_103' class='gfield' ><label class='gfield_label'>Check if Billing Address and Mailing Address are the same.</label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1515_103'><li class='gchoice_103_1'><input name='input_103.1' type='checkbox' onclick='gf_apply_rules(1515,[77]);' value='Same'  id='choice_103_1' tabindex='72'  /><label for='choice_103_1'>Same</label></li></ul></div></li><li id='field_1515_77' class='gfield' ><label class='gfield_label' for='input_1515_77_1'>Billing Address (If different from above)</label><div class='ginput_complex ginput_container' id='input_1515_77'><span class='ginput_full' id='input_1515_77_1_container'><input type='text' name='input_77.1' id='input_1515_77_1' value='' tabindex='73' /><label for='input_1515_77_1' id='input_1515_77_1_label'>Street Address</label></span><span class='ginput_full' id='input_1515_77_2_container' ><input type='text' name='input_77.2' id='input_1515_77_2' value='' tabindex='74' /><label for='input_1515_77_2' id='input_1515_77_2_label'>Address Line 2</label></span><span class='ginput_left' id='input_1515_77_3_container'><input type='text' name='input_77.3' id='input_1515_77_3' value='' tabindex='75' /><label for='input_1515_77_3' id='input_1515_77.3_label'>City</label></span><span class='ginput_right' id='input_1515_77_4_container' ><select name='input_77.4' id='input_1515_77.4' tabindex='76'   ><option value='' selected='selected'></option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select><label for='input_1515_77.4' id='input_1515_77_4_label'>State</label></span><span class='ginput_left' id='input_1515_77_5_container'><input type='text' name='input_77.5' id='input_1515_77_5' value='' tabindex='78' /><label for='input_1515_77_5' id='input_1515_77_5_label'>Zip Code</label></span><input type='hidden' class='gform_hidden' name='input_77.6' 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