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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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Travel Agency
Name________________________________________ Agent
Name________________________ IATA #______________ Agency Address____________________________________________ Phone________________________ Email _____________________ |
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Tour
name________________________________ Cost per
person $_____________ Attn. Pilgrim Agent _________________ Date of tour________________ # of persons____ Departure city ______________________ No Air (land package only) Deposit (per person) $______________ X (# of travelers) = $___________________ Cost of insurance (total tour cost plus approximate air taxes) $________________ 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) Middle__________________________________(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 Street address__________________________________ City______________________________ State_________ Zip___________ Phone #_________________________ Email__________________________________________ |
First
____________________________________(as
on passport) Middle__________________________________(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 Street address_________________________________ City_____________________________ State_________ Zip___________ Phone #________________________ Email_________________________________________ |
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Name of Roommate(s) (if on separate
form)______________________________________________________________ If cruise - cabin category: Inside Standard Outside Superior Outside Premium Outside 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 sent by FedEx to the address above and will require a signature. If you want the documents left at the door without a signature, you must check this box. I do want the documents left without a signature. |
Final
documents: will be sent by FedEx to the address above
and will require a signature. If you want the documents left at the door without a signature, you must check this box. I do want the documents left without a signature. |
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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 TERMS & TRAVEL CONDITIONS: | ||||||||||||||||||||||||||||||||||||||||||||||
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Deposit:
Your reservation will be confirmed upon receipt of your deposit.
$300.00 for international air tours, and $500.00 for cruise tours.
Note: Many prices are based on international exchange rates, which are subject to change with increases chargeable to the client. Final Payment: Balance is due 60 days prior to departure. Airline fuel increases are the responsibility of the client at any time of occurrence. Cancellation : 91+ Days Prior: No Penalty of deposit (Except for Israel $100.00 per person) 90-61 Days Prior: ($300 for international tour, $500 for tour/cruise) 60-46 Days Prior: 40% of tour cost 45-31 Days Prior: 65% of tour cost 30-8 Days Prior: 85% of tour cost 7 Days Prior or less: 100% of tour cost. Travel Protection: Pilgrim Tours recommends that you consider optional trip cancellation and interruption insurance as detailed below. Insurance premium is nonrefundable and must be paid at time of deposit. Insurance is refundable if the tour does not operate. Proof of US Citizenship: All international tours require a current passport and most countries require your passport be valid for 6 months after the tour return date. Your passport number must be recorded in our office by 30 days prior to departure. Non U. S./Canadian Citizens are responsible to fulfill appropriate entry requirements of the destination country by contacting this country's local Consulate office. Responsibility: Pilgrim Tours & Travel is the principle and is responsible for the arrangements and services described in their brochures. Pilgrim Tours & Travel, its employees and agents cannot be held responsible, in the absence of their own gross neglect, for events over which they have no control, nor for acts and omissions by persons, companies or agencies, including hotels, airlines, restaurants, sea and land transportation companies, which are not directly controlled by Pilgrim Tours & Travel. Pilgrim Tours and Travel carries "Error and Omissions Insurance" in case of default by one of our suppliers. |
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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 in order for you to miss as little as possible. |
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