Flight and Guided Tour Info

Please note, in order to secure shuttle service from the airport the following details are required. Please fill the information and click submit at the end of the registration procedure
[contact-form to=’secmed@wincol.ac.il’][contact-field label=’First Name’ type=’name’ required=’1’/][contact-field label=’Last Name ‘ type=’name’ required=’1’/][contact-field label=’Date of Arrival’ type=’text’ required=’1’/][contact-field label=’Airline’ type=’text’ required=’1’/][contact-field label=’Flight Number’ type=’text’ required=’1’/][contact-field label=’Time of Arrival’ type=’text’ required=’1’/][contact-field label=’Name of Hotel’ type=’text’ required=’1’/][contact-field label=’Registered for the Guided Tour ‘ type=’select’ options=’YES,NO’/][contact-field label=’Pre-Paid for the Guided Tour’ type=’select’ options=’YES,NO’/][contact-field label=’I would like to participate in the Michmoret Marine Center workshop ‘ type=’select’ required=’1′ options=’YES,NO’/][contact-field label=’ I need accessibility support’ type=’radio’ required=’1′ options=’yes,no’/][contact-field label=’I am a wheelchair user’ type=’radio’ options=’yes,no’/][contact-field label=’I have a visual impairment’ type=’radio’ options=’yes,no’/][contact-field label=’I have a hearing impairment’ type=’radio’ options=’yes,no’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Comment’ type=’textarea’/][/contact-form]