AL-MADEENA TRAVELS

41-35 50 St. Woodside, NY 11377

718-807-4318, 646-610-0740

E-Mail: ainulhuda@hotmail.com  Website: www.al-madeena.com

 

Hajj 1429/2008 Contract Form

Full Name

(1)............................................................................................................................................
(2) ..........................................................................................................................................
(3)............................................................................................................................................
(4)............................................................................................................................................
(5)............................................................................................................................................
Address:..................................................................................................................................
 
Tel:............................................................................................................................................
E-Mail:.....................................................................................................................................

JFK-JEDDAH-JFK  Departure date:.................... Return date:.......................

Domestic From: ...........................  Side Trip to:................................ Airport:.....................

   Room:     2      3   4/5 Persons in a room

Payment:  Package                  +  Hajj Draft $275.00 **     +  Qurbani $120.00
                  + Side trip                     Total (per person):                         
                                                                                          Grand Total:...............................

** If you send us money to make hajj draft please add $10.00 processing fee.

 
Head of the Family: ....................................................Signature..........................................
 

.........................................................

Representative:..............................................................                Muhammad Ainul Huda

On behalf of Muhammad Ainul Huda                                                                 President

..................................................................................................................................................

1st Payment:.................................. Received By:...........................................Date...............

Last Payment:................................ Received By:...........................................Date...............