TRAVEL. Russia The Magnificent Cities of Moscow and St. Petersburg. June 15 24, TheJewishMuseum.org. New York, NY

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1 Russia The Magnificent Cities of Moscow and St. Petersburg June 15 24, 2016 TRAVEL The Jewish Museum 1109 Fifth Avenue New York, NY Under the auspices of The Jewish Theological Seminary TheJewishMuseum.org

2 INTRODUCTION The Jewish Museum presents a ten-day journey through the extraordinary art, culture, and history of two major Russian cities. Relish Moscow and St. Petersburg with tours of the Hermitage, Catherine the Great s Summer Palace, the Holocaust Memorial, the Peterhof Palace and Gardens, the Museum of Tolerance, and other unforgettable sights. Learn about the role of Jews throughout Russian history from a local scholar. Our stay will take place when St. Petersburg is at its most lustrous during the famous White Nights of the early summer, when the sun lowers toward the horizon but never fully sets. From the magnificence of imperial palaces and national museums to important synagogues, monuments, and remnants of the Soviet era, our guided visit to Moscow and St. Petersburg offers extraordinary insights into the unique traditions and complex cultural history of the Jewish people in Russia. Susan T. Goodman, senior curator emerita and organizer of the critically acclaimed exhibitions Chagall: Love, War, and Exile and The Power of Pictures: Early Soviet Photography, Early Soviet Film, will offer special insights throughout our journey. RUSSIA, PAGE 2 OF 15

3 DAILY ITINERARY* *Subject to change Tuesday, June 14 DEPART U.S. FOR MOSCOW Thursday, June 16 MOSCOW Individual participants will arrange their own flights to Moscow. (Travel agent will offer meeting assistance as requested.) Overnight: En Route Wednesday, June 15 MOSCOW Russia Red Square Dennis Jarvis-cc by sa 2.0-flickr Flights arrive in Moscow with meeting and assistance at the airport upon request. Check into the luxurious Ritz-Carlton Hotel near Red Square, and then refresh and relax before tea. Before dinner, we will take a relaxing sightseeing coach tour of the city at night that includes Memorial Hill (Poklonnaya Gora), a complex of monuments, churches, museums and fountains that is also the site of the Moscow Memorial Synagogue. We will see Moscow s main streets, squares, and places of interest, including the renowned Bolshoi Theatre, the Russian White House, and the animated Tverskaya Street. Enjoy a welcome dinner with the group. Overnight: Moscow (afternoon tea and dinner included) St. Basil s Cathedral by Julius Silver (Own work) [GFDL], via Wikimedia Commons Enjoy a scrumptious breakfast at the hotel before departing for Red Square. Red Square remains, as it has been for centuries, the heart and soul of Russia. From the 16 th Century St. Basil s Cathedral one of the most famous architectural accomplishments in the world to the constructivist pyramid of Lenin s Mausoleum, Red Square is rich in symbols of Russia s turbulent and intriguing past. Take a ride on the Moscow Metro, one of the world s most lavish and beautiful underground railways, before departing for the hotel to refresh before an evening dinner in one of the city restaurants. A palace for the RUSSIA, PAGE 3 OF 15

4 DAILY ITINERARY people, Stalin ordered the Metro s architects and artists behind the project s construction to create something which glorified this vast communist entity. Friday, June 17 MOSCOW Enter St. Basil s Cathedral. It was built by Ivan the Terrible to mark the 1552 capture of Kazan from Mongol forces. Then stroll past the Kazan Cathedral this small but charming Cathedral was built in the 17 th century on the north side of the square near the Resurrection Gate. View the Kremlin Walls and the Lenin Mausoleum. Directly opposite the Mausoleum (currently closed for renovations)** on the eastern side of the square, lies the building which houses Russia s most famous indoor shopping mall and the State Department Store, GUM. Lunch on your own in one of the many interesting eateries in the mall. After lunch visit the Tretyakov State Gallery. The gallery bears the name of its founder, Pavel Tretyakov, who presented his collection to the city of Moscow in Established in 1986, the New Tretyakov is the premier venue for 20 th century Russian art, located on Krymsky Val. It contains an exemplary collection of 20 th century national art including works by Russian avant-garde artists Kandinsky, Chagall and Malevich as well as important examples of Socialist Realist art from the 1930s to the 1950s.The New Tretyakov continues to expand and up-date its collection of contemporary art. **Under renovation, we will pass by Lenin s mausoleum though not enter. Overnight: Moscow (breakfast and dinner included) The Assumption Cathedral Enjoy a hearty breakfast at the hotel before departing for a meeting with a leader of the Russian Jewish Congress and then an in-depth tour of the Kremlin, Kremlin Cathedrals, and the Armory Chamber. Stop in the heart of the city the Kremlin. The first Jewish settlements in Moscow were near the Kremlin s wall. You will learn about the empire of Lazar Polyakov the richest Jew in Russia in the 19th century and his private synagogue. Kitay-Gorod, one of the oldest districts in Moscow probably settled during the 11th century was the first place where Jews were allowed to live. It is located near the Kremlin and Red Square. In Red Square, a circular stone platform near St. Basil s Cathedral was once a place for public announcements and executions. Walk through the Assumption Cathedral, consecrated in 1479 and one of the most influential architectural works in Russian church history. Inside, the cathedral dates mainly from 1652, but with several older icons within it, including two attributed to the master Dionysius, the most famous and talented painter of his day. A section of the cathedral was a symbol of the unity of the new Russian state and comprised icons brought from all the principalities that had been united under Moscow. Behind the iconostasis is a stone altar screen with unrestored RUSSIA, PAGE 4 OF 15

5 DAILY ITINERARY frescoes representing early holy men. Some of these frescoes are also attributed to Dionysus. Saturday, June 18 MOSCOW Our tour of the Kremlin will also include a walk through the fascinating State Armory, the oldest museum in Russia. As its name implies, it contains many ancient weapons along with the Armory collection and a treasure-trove of breathtaking crown jewels, goldencrusted icons, bejeweled royal scepters, and exquisitely carved thrones of the tsarist era. These stunning treasures eloquently tell the history of Imperial Russia. After a group lunch, visit the Garage Museum of Contemporary Art. The Garage Museum is an important art museum in Gorky Park. In 2015, the Museum moved to its current building designed by the Dutch architect Rem Koolhaas. The museum now serves as an important venue for international exhibitions, events, art research, and publishing, with a stated purpose to reflect current developments in Russian and international culture. The Museum s collection is the first archive in the country focusing on the history of Russian contemporary art from the 1950s to the present. Rest and reflect on your own this evening, or join us for an optional evening program that includes a visit to the Moscow Choral Synagogue and a meeting with one of the key Rabbis of Russia. The Choral Synagogue was built in 1892 but was closed in 1896 when the Jews of Moscow were expelled under an anti-semitic decree by the tsar. It reopened in 1906 and is the largest and longest-operating Orthodox synagogue in the Russian capital. Unlike many Eastern European synagogues, it is a thriving religious community due to its unique congregation of Russian, Georgian, Bukharan, Mountain, and visiting Western Jews. Evening services (optional) at the Choral Synagogue where services have been offered continuously since 1906, followed by a Friday night dinner at the Synagogue (pending availability). Overnight: Moscow (breakfast, lunch and dinner included) City view of Moscow Enjoy your breakfast and Shabbat at leisure. Today offers a chance to relax and reflect at the hotel or to spend some time exploring on your own. Shop on elegant Tverskaya Street, or stroll along the Arbat, a bustling pedestrian walk with cafes, souvenir stores, street musicians, and artists, which before the Revolution was home to nobility and after the Revolution became the home of Communist party officials. Suggestions for optional activities include stopping at the Novodevichy Cemetery, the most famous cemetery in Moscow. It lies next to the southern wall of the 16th-century Novodevichy Convent, which is one of the city s most popular tourist sites. Designed by Ivan Mashkov and inaugurated in 1898, its importance dates from the 1930s, when the necropolises of the medieval Muscovite monasteries (Simonov, Danilov, and Donskoy) were scheduled for demolition. Only the Donskoy survived the Stalin era somewhat intact. The remains of many famous Russians buried in other abbeys, such as the writers Nikolai Gogol and Sergey Aksakov were disinterred and reburied at the Novodevichy. Just outside the Novodevichy Convent are the graves of Anton Chekhov and the theatre actor Constantin Stanislavski. Under Soviet rule, burial in the Novodevichy Cemetery was second in prestige only to burial in the Kremlin RUSSIA, PAGE 5 OF 15

6 DAILY ITINERARY Wall Necropolis. Among Soviet leaders, only Nikita Khrushchev was buried at the Novodevichy rather than at Red Square. Or, visit the Bronnaya Synagogue Agudas Chasidei Chabad, where prayers have been conducted since pre-revolutionary times. A private chapel owned by the banker and entrepreneur Lazar Solomonovich Polyakov, the chapel was closed after the October Revolution, when the building was transformed into the House of Amateur Creativity. In 1991, the site was transferred to the Habad Lubavich Hassidim community. This evening an optional performance at the Bolshoi Theatre, the most famous theatre in Moscow. It is reputed to be the second-largest performance hall in Europe, after the famous La Scala Theatre of Milan. The Bolshoi Theatre is well known for its excellent acoustics and rich interior decorations. The most renowned artistic masterpieces in the world, including Russian classic opera and ballet have been performed on its stage. (If requested, your tour manager will offer suggestions and assistance with your optional arrangements for this day.) Overnight: Moscow (Breakfast Included) Sunday, June 19 MOSCOW The Jewish Museum and Tolerance Center by Sergey Norin from Moscow, Russia (931) [CC BY 2.0], via Wikimedia Commons Partake in the Ritz-Carlton s gourmet breakfast buffet and then depart the hotel to visit Memorial Hill (Poklannaya Gora), a memorial to the Soviet victory over the invading Nazis during World War II (known in Russia as the Great Patriotic War). Walk through this vast complex of monuments, churches, and fountains to see the Moscow Memorial Synagogue and a special memorial to the Jews of the Holocaust. Meet the Director and tour the Jewish Museum and Tolerance Center. This multimedia museum opened in It is devoted to the complex history of Russian Jews, favoring personal testimony, archival video footage, and interactive displays all translated from Russian into English. The Pushkin Fine Arts Museum was originally named after the Russian Tzar Alexander the Third and was designed by the architect R.Klein to resemble an ancient temple. However in 1937, the museum was renamed after the Russian poet Pushkin as a posthumous commemoration of his name and fame. The museum s collection is home to an array of artifacts and works that ranging from ancient times to modern day. Such RUSSIA, PAGE 6 OF 15

7 DAILY ITINERARY holding include works by Western Impressionist and Post-Impressionist artists, like Van Gogh, Gauguin, Picasso, Matisse and many others. Monday, June 20 ST. PETERSBURG Across from Pushkin Fine Arts Museum is the Cathedral of Christ the Saviour, one of the most imposing and controversial buildings in Russia. It had a short but turbulent history. Singled out by the Soviet government for destruction, in 1931 it was demolished to make way for the proposed Palace of Soviets, one of the most influential architectural strucutre (the design was approved by Stalin) never to be built. The site became the largest open-air swimming pool in the world until the fall of the Soviet Union in the 1990s, when the cathedral was rebuilt and completed in Return to the hotel to refresh before an evening on your own. Overnight: Moscow ( breakfast and lunch included) The Choral Synagogue Interior St. Petersburg After breakfast, check out of the hotel and transfer to the railway station to board a Sapsan high-speed train for St. Petersburg. Arrive in St. Petersburg in the late morning; enjoy the sights of this remarkable city with a panoramic city tour. Often referred to as Tsar Peter the Great s Window to the West, St. Petersburg is only 300 years old and was built by Tsar Peter to capture and rival the beauties of Paris and Venice. Marvel at the extravagant baroque architecture of the city center, Nevsky Prospect, Palace Square, and Smolny Convent. Stop at the Peter and Paul Fortress built by Peter the Great in 1703 at the height of the Great Northern Wars. Never used for defense, it became the center of his ambitious project to build a modern Imperial capital on the marshlands of the Neva Delta. The fortress contains several notable buildings clustered around the Peter and Paul Cathedral, which serves as the burial RUSSIA, PAGE 7 OF 15

8 INTRODUCTION place of all Russian tsars from Peter I to Alexander III. Check into the Grand Europe Hotel and refresh before visiting the Choral Synagogue. The second-largest synagogue in Europe, it was completed in 1888 with a blend of Moorish and Byzantine architecture, and consecrated in Tuesday, June 21 ST. PETERSBURG Tour the Alexander Pushkin Museum and Memorial Apartment. This literary museum, dedicated to Russia s most celebrated poet, stands just a few yards away from Palace Square and two blocks from Nevsky Prospekt on the quiet embankment of the Moika River. The museum is housed in Alexander Pushkin s memorial apartment where he lived between 1836 and 1837, and died after being mortally wounded in a dramatic duel. On a wave of nationwide grief for the untimely death of this major Russian literary figure, Pushkin s apartment was carefully preserved and remains a fine example of a nobleman s residence of the 1830s. Visitors can step into the museum and see the study of the great poet and writer of the famous epic novel in verse, Eugene Onegin, and the wellknown story The Queen of Spades, both of which were later turned into operas by the great Russian composer Tchaikovsky. Return to your lodgings to relax prior to a group dinner at the hotel. Overnight: St. Petersburg (breakfast, lunch and dinner included) The Hermitage Museum Enjoy a grand buffet breakfast before immersing yourself in the many wonders of the elegant Winter Palace of the Tsars, which now houses the Hermitage Museum, one of the largest art and cultural museums in the world. Its vast collection, about 65,000 works, includes important exhibits on Russian art and some of history s most important art and artifacts, from ancient and classical antiquities, to Italian Renaissance and European art of the neoclassical, impressionist, and postimpressionist periods. After lunch visit Yesod Center (the Jewish Community Center), a building that was opened in 2005 and currently houses all the major Jewish organizations. RUSSIA, PAGE 8 OF 15

9 DAILY ITINERARY Meet with members of Sha arei Shalom Progressive Jewish Community for a briefing on Jewish life in Russia today. Sha arei Shalom is the first progressive congregation in Russia to acquire its own building. It is located in the heart of historic St. Petersburg on the Petrovskaya Embankment. Then tour the State Museum of Ethnography. View the exhibit on the History and Culture of the Jewish People on the Territory of Russia. The exhibit was conceived and announced by Vladimir Putin during his meeting with the Prime Minister of Israel, Ariel Sharon, in The exhibition is considered to be the first step toward opening a separate museum of Jewish culture. Among the items on display are Torah scrolls, Torah crowns and shields, religious books and manuscripts, photographs and portraits, costumes, musical instruments, ritual utensils, and games. Return to the hotel to refresh and then attend an optional performance at the St. Petersburg Philharmonic or the Mariinsky Theatre. Overnight: St. Petersburg (breakfast and lunch included) Wednesday, June 22 ST. PETERSBURG Catherine s Summer Palace After breakfast, depart the hotel for Catherine s Summer Palace in Pushkin, about 25 kilometers (15 miles) south of St. Petersburg. Conceived by the same architect that designed the Winter Palace (the Hermitage), it was the summer residence of the Russian tsars. An immense, spectacular structure with a striking blue-and-white exterior, dazzling gilt-work, painted ceilings, and ornate interiors, the palace is among the most popular attractions in St. Petersburg. Largely destroyed by the retreating Nazis during World War II, the palace has been undergoing painstaking reconstruction and renovations for decades in an attempt to restore the grandeur of this historic royal residence. Stop en route at the Monument to the Soviet Jews who were victims of the Holocaust. Located in Tsarskoye Selo, the monument is situated less than a half-mile from Catherine s Palace in a place that formed a Jewish ghetto during World War II. Following lunch at the charming Podvorie restaurant, return to St. Petersburg and the hotel. Refresh before an optional evening cultural performance or time on your own enjoying the midnight sun. Overnight: St. Petersburg (breakfast and lunch included) RUSSIA, PAGE 9 OF 15

10 DAILY ITINERARY Thursday, June 23 ST. PETERSBURG Friday, June 24 DEPART ST. PETERSBURG FOR U.S. Spend breakfast together and then transfer upon request to the airport for your return flight to the U.S. (Breakfast included) The Russian Museum by NGC 7070 (Own work) [CC BY-SA 3.0], via Wikimedia Commons After a hearty breakfast at the hotel, depart via hydrofoil to the Peterhof Palace and Gardens. The sumptuous Grand Palace at Peterhof was designed to be the centerpiece of Peter the Great s Russian Versailles. Work had already begun on a modest palace, designed by Jean-Baptiste Le Blond, in 1714, and that building was completed in The palace is a combination of original designs by Rastrelli and renovations by Yurii Felten and Vallin de la Mothe during the reign of Catherine the Great. She oversaw the creation of the first landscape garden at Peterhof, the English Park, which was designed jointly by English landscaper James Meders and the great Italian architect Giacomo Quarenghi. The park was once the setting for Quarenghi s English Palace, considered one of the finest works of Russian classicism, which was later used as a guesthouse for foreign visitors, and then destroyed by artillery fire in the Second World War. Return to St. Petersburg and enjoy a guided tour of the Russian Museum, the first state museum of Russian fine arts in the country. It was established in 1895 in St. Petersburg by a decree of the Emperor Nicholas II. Today, the Russian Museum is a unique depository of artistic treasures and an important center for artistic restoration. Return to the hotel to relax and refresh. This evening we will join together in a farewell cruise and dinner. Overnight: St. Petersburg (breakfast, lunch, and dinner included) RUSSIA, PAGE 10 OF 15

11 TRIP SCHOLAR AND TRIP LEADER Susan T.Goodman TRIP SCHOLAR Susan T.Goodman is Senior Curator Emerita at The Jewish Museum, where she has organized numerous exhibitions and written and edited many catalogues on Russian art, Israeli art, and Jewish art. Her exhibition catalogues on Russian art include Chagall: Love, War, and Exile (2013), Chagall and the Artists of the Russian Jewish Theater (2008), Marc Chagall: Early Works from Russian Collections (2001), A Witness to History: Yevgeny Khaldei, Soviet Photojournalist (1997), and Russian Jewish Artists in a Century of Change, (1995). On the subject of Israeli art, her books include Dateline Israel: New Photography and Video Art (2007), After Rabin: New Art from Israel (1998), In the Shadow of Conflict: Israeli Art, (1989), A World of Their Own: Naive Artists from Israel (1987), and Artists of Israel, (1981). Among her other publications are The Emergence of Jewish Artists in Nineteenth-Century Europe (2001) and From the Inside Out: Eight Contemporary Artists (1993). Miriam Osman TRIP LEADER Miriam Osman has a Master of Arts in Classical and Modern History and in Education from Tel Aviv University. She taught High School History in Israel for 7 years and has worked for over 30 years in the travel industry. She has organized travel for major Jewish organizations to destinations in Europe and Asia, such as Russia, Poland, Hungary, Uzbekistan, Georgia and China. She specializes in the history of Jewish Heritage in Central Europe and is fluent in English, Hebrew and Polish. RUSSIA, PAGE 11 OF 15

12 ACCOMMODATIONS The Ritz-Carlton, Moscow Rising out of its cultural and business epicenter, The Ritz-Carlton, Moscow is one of the Russian capital s premier luxury hotels in Moscow, and emblematic of the city s tale of two cities one that honors its artistic and cultural past as much as it embraces a vibrant, new-age present. Guests will discover a classic, sophisticated ambience that gives way to a contemporary cool in the most unexpected places, like from the rooftop O2 Lounge and the rejuvenating surroundings of ESPA, our world class spa, and the luxurious amenities found in the hotel s guest rooms and suites and Club Level. Breathtaking views come courtesy of the hotel in Moscow s location just off Red Square, from which the city emanates in many fascinating directions. Grand Europe Hotel, St. Petersburg Grand Hotel Europe, St Petersburg is cultural and culinary landmark that has played a central role in the life of the city for 140 years. A truly iconic building, it stands on Nevsky Prospekt among the city s great architectural treasures renowned for its impressive façade and decorative interiors. Positioned adjacent to Arts Square, it is one of the most glamorous hotels in St Petersburg, Russia. Belmond Grand Hotel Europe has strong associations with the worlds of theatre, music and dance. A stay here shows you the true spirit of the country, especially during the White Days of winter, when snow lies outside and a warm welcome awaits within. RUSSIA, PAGE 12 OF 15

13 PROGRAM DETAILS Participation Limited to 25 participants, this program is open to members of the Jewish Museum. Non-members are welcome to join the Museum in order to participate. Designed for people of all ages, Travel Programs entail walking moderate distances and may include uneven or slightly hilly terrain and/or stairs. Participants need to be in active, good health, able to keep up with the group, ready to travel as part of a group, and experience cultural differences with grace. Land and Program Cost $7, plus $75 Jewish Museum membership fee for non-members); (single supplement $1,290). Based on a minimum enrollment of 15 participants. Program Cost Includes 1 piece of luggage per person at each hotel and airport Five nights at the Ritz Carlton Hotel in Moscow Four nights at Grand Europe Hotel in St. Petersburg Meals: breakfast daily, six lunches and five dinners Six days of sightseeing and transportation Entrance fees entrance fees to all sights on itinerary A deluxe air conditioned motor coach services of an English speaking guide Tips to the guides, driver, and chambermaid are included Tips for all group meals are included Bottled water on the bus Business class train tickets between Moscow and St, Petersburg Canal Cruise on a private boat with Champagne Luggage truck on June 19 from Moscow to St. Petersburg Not Included in Price Travel Insurance (this can be purchased separately through the travel provider) Lunches and dinners not mentioned in itinerary. Guests for meals are not included and will be billed at the end of the trip. Alcoholic beverages are not included and will be billed per consumption. Rental of rooms at hotel for meetings and briefings is not included. Visa to Russia is not included. It can be obtained through an expediter Cultural performance at an additional cost. Optional tours on Saturday, June 18: performance at the Bolshoi Theatre, visit to Novodevichy Cemetery, visit to Bronnaya Synagogue Agudas Chasidei Chabad (these events will be additional costs to the Land and Program costs). All personal expenses including souvenirs, laundry services, valet service, phone calls, etc. Health Recommendations To enjoy your travels to the fullest, you should be in good physical and mental health. Any physical condition that requires special attention, diet, or treatment must be reported in writing when the reservation is made. We reserve the right to decline to accept or retain any person as a participant, should such a person s health, mental condition, physical infirmity, or attitude jeopardize the operation of the travel program or the enjoyment of other participants. All health information is protected and treated as confidential. RUSSIA, PAGE 13 OF 15

14 PROGRAM DETAILS To Register To reserve your place, complete the reservation form and return with your non-refundable deposit of $1000 due by March 15, 2016 to our office at: The Jewish Museum Travel Program at GIL Travel 25 Broadway, 17th floor New York, NY T F Balance due 60 days prior to departure April 15, Call with any questions. Changes All rights are reserved by the Program Directors to make faculty substitutions and/or to modify the itinerary (including hotels) as needed. Insurance We strongly urge all participants to take out trip insurance to cover losses necessitated by having to cancel. For your convenience, trip cancellation insurance information will be sent upon registration, or you may elect to consult your own insurance agent. Cancellations Disclaimer of Responsibility By registering for this program, participant specifically waives any and all claims of action against the Jewish Museum, the Jewish Museum Travel office, and their respective staffs for damages, loss, injury, accident, or death incurred by any person in connection with this tour. The Jewish Museum, the Jewish Museum Travel office, and their respective staffs assume no responsibility or liability in connection with the service of any train, vessel, carriage, aircraft, or other conveyance which may be used wholly or in part in the performance of their duty to the passengers. Neither will the Jewish Museum, the Jewish Museum Travel office, or their staffs be responsible for any injury, death, loss, accident, delay, or irregularity through neglect or default of any company or person engaged in carrying out the purposes for which tickets, vouchers, or coupons are issued. No responsibility is accepted for losses or expenses due to sickness, weather, strikes, wars, and other causes. In the event it becomes necessary or advisable for any reason whatsoever to alter the itinerary or arrangements, such alterations may be made without penalty. All rights reserved to require any participant to withdraw from the tour at his / her own expense when such an action is determined by the tour staff to be in the best interest of the participant s health and safety, and that of the group in general. All cancellations must be received by the Jewish Museum Travel Program in writing. Cancellations prior to March 30, 2016 will be issued a full refund of the deposit per person; Before April 30, 2016 a 50% of the cost of the trip will be refunded per person; No refunds after May 15, All cancellations must be received by the Jewish Museum Travel Program in writing. RUSSIA, PAGE 14 OF 15

15 Russia The Magnificent Cities of Moscow and St. Petersburg July 18 28, 2016 REGISTRATION FORM Please complete this form and include the deposit. Registrations are accepted by telephone, , or fax. Are you a Jewish Museum member? Yes No, ($75 per person is added to deposit) Mail to: The Jewish Museum Travel Program at GIL TRAVEL 25 Broadway, 17th floor New York, NY Attn: Miriam Osman Or call Name Name 2 Date of Birth Date of Birth Passport Number Passport Number Date of issue Date of issue Date of expiration Date of expiration Place of birth Place of birth Date of birth Date of birth Tel Day Tel Evening Billing information (if different from mailing address above.) Address Check Enclosed Card # MasterCard Signature Expiration Authorize charge for the amount of $ Security Code Visa American Express Accommodation Preference Double Room Single Room Share my room with: RUSSIA, PAGE 15 OF 15