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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
name_Ambassador Ministries German Reformation tour
Cost per person
$3,957.00___ Attn. Pilgrim Agent _Dan
Bergey (ext. 100)__ Date of tour__September 13-23, 2010 _ # of persons____ Departure city _Denver_____ No Air (land package only, $2,467.00) Deposit (per person) $_250.00__________ 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 (additional 3% of the total bill) | ||||||||||||||||||||||||||||||||||||||||||||||
| Credit card #______________________________________Security Code (3 digits, back of card)________Expiration date_________ | ||||||||||||||||||||||||||||||||||||||||||||||
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Name on credit
card__________________________________ Signature_____________________________________ Billing address for credit card____________________________________________________________________________ |
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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 TERMS & TRAVEL CONDITIONS: | ||||||||||||||||||||||||||||||||||||||||||||||
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Deposit:
A $250 non refundable deposit and completed reservation form are required to
secure a reservation for your tour. Second deposit of $250 is
due January 7, 2009. Third deposit of $250 due May 7, 2009.
Fourth deposit of $250 due August 1, 2009.
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 May 13, 2010. 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 : September 26, 2008-121 days prior: full deposit cancellation fee (passenger on deposit may transfer their deposit to a new traveler or will be reimbursed if the spot is filled by Ambassador Ministries Inc. without penalty up to 121 days prior to departure.) 120-91 Days Prior: 60% of tour cost as cancellation fee 90-31 Days Prior: 80% of tour cost as cancellation fee 30 Days Prior or less: 100% of tour cost as cancellation fee Travel insurance is non-refundable. Air penalties are not part of the percentages above and vary based on the airline policy at the time of ticket issue. 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. Pricing Basis: Pricing is based on the Euro currently at 1.32 and is subject to change up or down. Price is subject to change until the date of final invoices. |
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| Travel/Medical/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. Additional Optional Coverage Available: Cancel For Any Reason This add-on provides reimbursement of 75% of the Total Trip Cost if you decide to cancel for any reason up to 48 hours prior to departure This additional service must be purchased within 24 hours of your initial trip payment. In order to calculate the cost of this add-on, please use the chart to find your Insurance Plan Cost, which corresponds with your Tour Cost. Multiply this amount by 1.5 to calculate your revised Insurance Plan Cost. Example: Your Tour Cost is $3957. On the chart, this would fall in the $3501 - $4000 range, resulting in a $270 Insurance Plan Cost. So, $270 x 1.5 = $405. In this instance, $405 would be your revised Insurance Plan Cost, which includes the Cancel For Any Reason clause. |
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