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

Please complete the reservation form and return it with your payment (payable to “Pilgrim Tours”) to:
PO Box 268 • Morgantown, PA 19543

Tour name_ Borne Group Ministry Best of Israel  9 Day Tour   Cost per person $2,199.00   Attn. Pilgrim Agent Tim Nyce
Date of tour
  May 4-12, 2010   # of persons____   Departure city Newark      No Air (land package only)
Deposit (per person)                                                                   $_300.00__________      X (# of travelers) = $___________________
Cost of insurance (Plan Cost)                                                      $________________       X (# of travelers) = $___________________
                                                                                                                                                 Total enclosed = $___________________  
Payment method:      Check       Mastercard       Visa         
Credit card # (3% surcharge)_______________________________Security Code (3 digits, back of card)________Expiration date_________
Name on credit card__________________________________Chg.Signature_____________________________________
Billing address for credit card___________
_________________________________________________________________
     

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/Middle _______________________________(as on passport)
Last_____________________________________     (as on passport)
Tour badge nickname _______________________________
Passport #__________________________________________
Issuing country of passport__________________________
Passport issue date___________________ (M/D/Y)
Exp. date_________________________ (M/D/Y)

Date of birth:___________ (M/D/Y)  Male  Female
P.O. Box_______________________________________
Street address__________________________________
City______________________________ State_________
Zip___________  Phone #_________________________
Email__________________________________________
First/Middle _______________________________(as on passport)
Last_____________________________________     (as on passport)
Tour badge nickname _______________________________
Passport #__________________________________________
Issuing country of passport__________________________
Passport issue date___________________ (M/D/Y)
Exp. date_________________________ (M/D/Y)

Date of birth:___________ (M/D/Y) Male Female
P.O. Box______________________________________
Street address_________________________________
City_____________________________ State_________
Zip___________  Phone #________________________
Email_________________________________________
Name of Roommate(s) (if on separate form)______________________________________________________________
(Single supplement of  $325.00 added to final invoice if no roommate listed.)
Room (check one):
 
Single (1 bed)           Double (1 bed, 2 people)           Twin (2 beds, 2 people)          Triple (3 beds)
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.
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 Conditions as stated on the itinerary brochure and the payment terms to follow:

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

10T123

PILGRIM TERMS & TRAVEL CONDITIONS:
Deposit: Your reservation will be confirmed upon receipt of your $300.00 deposit due January 25, 2010 .
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 March 4, 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 :
91+ Days Prior: $100 lost per person   • 90-61 Days Prior: Deposit amount lost ($300.00)   • 60-46 Days Prior: 40% of tour cost lost  • 45-31 Days Prior: 65% of tour cost lost  • 30-8 Days Prior: 85% of tour cost lost  • 7 Days Prior or less: 100% of tour cost lost. 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. 
 
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.
**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.
   

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

TOLL-FREE:  1.866.385.4839
Refer to product #008237

 
  Coverage Schedule of Benefits
Trip Interruption Trip Cost
Trip Cancellation Trip Cost
Trip Delay ($100 max. per day) $500
**Missed Connection $250
Baggage & Personal Effects $1000
Baggage Delay $100
Medical Expense $10,000
Emergency Medical Transportation $20,000
Accidental Death & Dismemberment $25,000
Please note: A $3.00 transaction fee will be added per order.