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Complete this reservation form and return it with your payment to Pilgrim Tours, PO Box 268, Morgantown, PA, 19543 |
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Tour
Oberammergau Package Name__________________________ Cost
Per
Person $__________ Attn. Pilgrim Agent ____________ # of persons____ Departure Date _______________ Departure City ______________________ No Air (land package only) Deposit (per person) $_500.00 ($250.00 is non-refundable)_ X (# of travelers) = $____________________ Cost of Insurance $_______________________________ X (# of travelers) = $______________ _____ Total Enclosed = $______________________ |
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| Payment method: Check Mastercard Visa | ||||||||||||||||||||||||||||||||||||||||||||||
| Credit card #______________________________________Security Code (3 digits, back of card)________Expiration date_________ | ||||||||||||||||||||||||||||||||||||||||||||||
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Name on credit
card__________________________________Chg.Signature____________________________________ Address on credit card if different from below________________________________________________________________ |
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Please print carefully! Inaccurate information will result in travel delays and/or airline change fees. |
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| FIRST PASSENGER | SECOND PASSENGER (If payment is on this form) | |||||||||||||||||||||||||||||||||||||||||||||
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First
____________________________________(as
on passport) Last_____________________________________(as on passport) Tour badge nickname _______________________________ Passport #__________________________________________ Issuing country of passport__________________________ Passport issue date_________ Expiration date_______ Date of birth:___________ (M/D/Y) Male Female P.O. Box_______________________________________ Street address__________________________________ City______________________________ State_________ Zip___________ Phone #_________________________ Email__________________________________________ |
First
____________________________________(as
on passport) Last_____________________________________(as on passport) Tour badge nickname _______________________________ Passport #__________________________________________ Issuing country of passport__________________________ Passport issue date_________ Expiration date_______ Date of birth:___________ (M/D/Y) Male Female P.O. Box______________________________________ Street address_________________________________ City_____________________________ State_________ Zip___________ Phone #________________________ Email_________________________________________ |
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Name of Roommate(s) (if on separate
form)______________________________________________________________ Room (check one): Single (1 bed) Double (1 bed, 2 people) Twin (2 beds, 2 people) Triple (3 beds) |
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| Final
documents: will be mailed to the address above and will not require a signature. If you require delivery with a signature, please contact our office. |
Final
documents: will be mailed to the address above and will not require a signature. If you require delivery with a signature, please contact our office. |
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| Emergency contact not traveling: Phone ____________________ | Emergency contact not traveling: Phone_____________________ | |||||||||||||||||||||||||||||||||||||||||||||
| Name_________________________________________________ | Name__________________________________________________ | |||||||||||||||||||||||||||||||||||||||||||||
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My signature below verifies that I understand that I may purchase
travel protection insurance from Pilgrim or from another source.
_________________________________________________
____________________________________________________ |
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| PILGRIM PAYMENT SCHEDULE & POLICIES: | ||||||||||||||||||||||||||||||||||||||||||||||
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Deposits and Penalties Penalty Schedule: |
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| Travel/Cancellation Insurance Why purchase this plan? | ||||||||||||||||||||||||||||||||||||||||||||||
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24 Hour Call Center
- expert agents are on call for help with any changes that occur in
your schedule. Pre-existing Condition Clause - You are covered for any pre-existing medical condition as long as you purchase the plan at the time you make your tour reservation deposit. **Special Pilgrim Benefit - In addition to the normal benefits listed below, Pilgrim has also added coverage for clients who have flight delays or miss flight connections and need to catch up with the tour upon arrival in the destination country. Whenever you arrive, arrangements will be made for private transfer so that you miss as little as possible. |
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