Vellinga's Travel Service

244 Queen Street, P.O. Box 234, Chatham, Ontario N7M 5K3
Phones: (519) 352-5150 or Toll Free 1-877-352-5150

www.vellingastravelservice.com
   TICO # 50016006

Deposit: Your reservation will be confirmed upon receipt of your deposit of  $500.00 per person. Note: All prices are based on international exchange rates, which are subject to change. Final Payment: Balance is due 60 days prior to departure.
Cancellation Charges: 91+ Days Prior:  $100.00 per person  • 90-61 Days Prior: $500 per person • 60-46 Days Prior: 35% of total tour cost   • 45-31 Days Prior: 60% of total tour cost   • 30-8 Days Prior: 80% of total tour cost    • 7 Days Prior or less: 100% of total tour cost. Travel Protection: Vellinga's Travel Service recommends that you consider optional trip cancellation and interruption insurance as well as Out of Country Extended Medical protection. Insurance premium is nonrefundable and should be paid at time of deposit. (See premiums attached.)
Proof of Canadian Citizenship:
Current passport valid through October 20, 2007. Your passport number should be recorded by Vellinga's Travel prior to final payment. If possible, please send a photocopy of your passport along with this reservation form.
Responsibility: Tour arrangements made by Vellinga's Travel Service through Pilgrim Tours & Travel.  As the principle Pilgrim Tours & Travel 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 with checks made payable to " Vellinga's Travel Service " and return it with your payment to:
Vellinga's Travel Service, P.O. Box 234, Chatham, Ontario, N7M 5K3
Please print carefully!   Inaccurate information will result in possible travel delays and/or airline change fees.

Tour name___Back to the Bible, Canada_   Cost per person cdn$_2990.00   (Cash discount price) or cdn$3080.00 (Credit Card Price)
Date of tour__ April 8, 2008__    # of persons______    Departure city _____________________________
Deposit (per person) $_500.00__________                                                                        X (# of travelers) = $___________________
Cost of insurance       $________________                                                                         X (# of travelers) = $___________________
                                                                                                                                                 Total enclosed = $___________________  
Payment method:      Cheque      Mastercard       Visa    (add 3% for credit card sales)     
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___________________________________________________________________________

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)      
Male  Female
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)    
Male  Female
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)