PO Box 268   •   Morgantown, PA 19543
Phone: 800.322.0788   •   Fax: 610.286.6262
Member of NTA Since 1987    www.pilgrimtours.com

Deposit: Your reservation will be confirmed upon receipt of your deposit of $300.00.  Reserve early as space is limited.
Final Payment:
November 15, 2005

Cancellation :
   • 91+ Days Prior:  full refund    • 90-61 Days Prior: ($300 for international tour)    • 60-46 Days Prior: 35% of tour cost    • 45-31 Days Prior: 60% of tour cost    • 30-8 Days Prior: 90% 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 printed on our "Company Information" page. Insurance premium is nonrefundable and should be paid at time of deposit.

Proof of US Citizenship:
All international tours require a current passport. Your passport number should be recorded by Pilgrim Tours prior to final payment. If possible, please send a copy of your passport along with this reservation form.
Non U. S. Citizens
are responsible to fulfill appropriate entry requirements of destination country. Contact your Consulate office for requirements.
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.

Complete this reservation form and return it with your payment to "Ankeny Free Church."
Label checks "Israel Tour" and mail to Ankeny Evangelical Free Church, 118 N.W. Linden, Ankeny, IA 50021.
Please print carefully!   Inaccurate information will result in possible travel delays and/or airline change fees.

Tour name:_ Covenant_Christian Ministries___________________   Cost per person $________________
Date of tour:_March 31, 2006____   # of persons______    Departure city ________________________
Deposit (per person) $500______________                                                                       X (# of travelers) = $___________________
Cost of insurance (per person including approximate air taxes)  $________________       X (# of travelers) = $___________________
                                                                                                                                                 Total enclosed = $___________________  
Payment method:     Check       Made payable to: "Covenant Christian Ministries."

FIRST PASSENGER
Full Name (as it appears on passport)
SECOND  PASSENGER  (If payment is on this form)
Full Name (as it appears on passport)
_________________________________________________
Tour badge nickname _______________________________
Passport number___________________________________
Issuing country of passport_______________
Passport issue date____________ Expiration date___________
Date of birth:_____________ (M/D/Y)      
6Male 6Female
Street address______________________________________
City______________________________ State_________
Zip___________  Phone #_____________________________
Email_______________________________________
____________________________________________________
Tour badge nickname__________________________________
Passport number______________________________________
Issuing country of passport_______________
Passport issue date____________ Expiration date____________
Date of birth_____________ (M/D/Y)         
6Male 6Female
Street Address_________________________________________
City_____________________________ State_________
Zip___________  Phone #____________________________
Email_______________________________________
Emergency contact not traveling: Phone ____________________ Emergency contact not traveling:  Phone______________________
Name_____________________________________________ Name________________________________________________

Name of Roommate (if on separate form)____________________________________________
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 conditions as stated above.

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