Malta Request Form
Attention Group and Individual Malta Clients:
Please fill out the following form so we can 
adequately respond and serve you better.
 
Fields marked with a star (*) are required.

For Bulk Rate Discounts, either submit
the form below, or call:

Toll Free 800 322 0788
Your Name:*
 		 Email:*
Your Phone Number:* (including area code)
 How did you hear of Pilgrim?

Hotel Category*

3 star (tourist class)
4 Star (superior tourist class - first class)
 5 Star (superior first class - deluxe)
 

 US Departure City Options:*
Option 1
Option 2
   
Length of Stay:        Meals Included 
 
Departure Date Options:

option 2

option 3
 
How many people will be traveling? (if 10 or more see below)
 
Adults:         Children:      Age 62 and over:   

If the total is 10 persons or more traveling on the same schedule, 
you qualify for group savings and benefits.
If you have a group, please provide us with the 
approximate number of persons in the space provided:  

Enter any additional requests for information in the box provided below.

May we send you periodic e-mail travel specials - including coupons and money saving ideas?
Yes  No