PILGRIM TOURS RESERVATION FORM
PO Box 268   •   Morgantown, PA 19543   Phone: 800.322.0788   •   Fax: 610.286.6262

Complete this reservation form and return it with your payment to Pilgrim Tours, PO Box 268, Morgantown, PA, 19543

Travel Agency Name________________________________________  Agent Name________________________ IATA #______________
Agency Address___________________________________________________________________________________________________ 
Phone________________________ Email _____________________
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) = $___________________
Airfare Ticket Cost (per person)                                                  $________________       X (# of travelers) = $___________________
Cost of insurance (total tour cost plus approximate air taxes)       $________________       X (# of travelers) = $___________________
                                                                                                                                                 Total enclosed = $___________________  
Payment method:      Check       Mastercard       Visa         
Credit card #______________________________________Security Code (3 digits, back of card)________Expiration date_________
Name on credit card__________________________________Chg.Signature____________________________________
Address on credit card if different from below
________________________________________________________________

Please print carefully!   Inaccurate information will result in travel delays and/or airline change fees.

FIRST PASSENGER SECOND  PASSENGER  (If payment is on this form)
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_________________________________________
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)
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.
Emergency contact not traveling: Phone ____________________ Emergency contact not traveling: Phone_____________________
Name_________________________________________________ Name__________________________________________________

My signature below verifies that I understand that I may purchase travel protection insurance from Pilgrim or from another source. 
I also have read and understand Pilgrim Tours’ Terms and Travel Conditions as stated to follow.

    _________________________________________________                 ____________________________________________________
   
      Signature required (first passenger)                                      Signature required (second passenger)

 
PILGRIM TERMS & TRAVEL CONDITIONS:
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. 
Payments not received on time will result in reservation cancellation without refund.
Cancellation:
Air penalties are not part of the percentages below and vary based on the airline policy at the time of ticket issue.  
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:
These tour programs are operated by Pilgrim Tours and Travel, Inc., 3821 Main Street, Morgantown, Pennsylvania 19543. In common with other companies, Pilgrim acts only as an agent for tour members in arranging room accommodations, transportation, sightseeing, admissions and restaurants. Pilgrim reserves the right in its sole discretion to make changes in the itinerary and is not responsible for expenses, loss of time, money or other incidents resulting from a change of tour scheduling made for tour members, including any rescheduling due to political unrest. Pilgrim is not responsible for any losses or damages of personal property, injuries or unforeseen expenses incurred by any tour member.
Air Transportation: Pilgrim tours will arrange for the best-priced airfare available at the time of booking. Passengers wishing to cancel or change their air reservation may be subject to cancellation penalties. Airfares quoted by Pilgrim are promotional fares and cannot be combined with other promotional offers. Airlines involved in tours are not responsible for any act, omission or event during the time passengers are not on board their planes or conveyances. Pilgrim Tours is not responsible for unforeseen flight delays, charges due to changes required during political unrest, or schedule changes imposed by the airlines. Air schedules may be subject to change at the discretion of the airline.
 
Travel/Cancellation Insurance     Why purchase this plan?
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.
   

For specific questions regarding insurance,
call AIG Travel Guard's representatives.
24 hours a day, 7 days a week

TOLL-FREE: 1.866.476.6698
Refer to product #008760
P1-P2 1/11

 
 
Tour/Air Cost Per Person Example of Plan Cost: 6% of total package,
Regular Coverage
Example of Plan Cost: 6 1/2 % of total package,
Cancel for Work Reasons
  Coverage Schedule of Benefits
$500 $30.00 $33.00 Trip Interruption Trip Cost
$1000 $60.00 $65.00 Trip Cancellation Trip Cost
$1500 $90.00 $98.00 Trip Delay ($100 max. per day) $1000
$2000 $120.00 $130.00 **Missed Connection $500
$2500 $150.00 $163.00 Baggage & Personal Effects $1500
$3000 $180.00 $195.00 Baggage Delay $500
$3500 $210.00 $228.00 Medical Expense $50,000
$4000 $240.00 $260.00 Emergency Medical Transportation $1,000,000
$4500 $270.00 $293.00 Accidental Death & Dismemberment $25,000
$5000 $300.00 $325.00 Worldwide Travel & Medical Assistance Included