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PILGRIM TOURS RESERVATION FORM
PO Box 268 Morgantown,
PA 19543 Phone: 800.322.0788 Fax: 610.286.6262 |
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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: The
Expanded Holy Land
June 1-10, 2011
Attn. Pilgrim
Agent Steve Fidler_________________
I would like Pilgrim Tours to find a roommate, if possible. yes
___ Total tour cost per person (If known)
$_________________________
# of persons____ Departure city __________________________________
No Airfare needed (I want land
package only) yes ___
Deposit (per person) $300.00 $300.00 X (# of travelers) = $___________________
Cost of insurance $_______________ X (# of travelers) =
$________________ (+$3.00 transaction fee) = $___________________
I decline to purchase travel insurance: yes
___ Total enclosed (for deposit,
insurance) = $___________________ |
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Payment method:
Check ___ Mastercard ___ Visa ___ note: There is a 3%
surcharge on credit card payment for land portion of cost.
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Credit card #______________________________________Security
Code
(3 digits, back of card)________Expiration
date_________ |
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Name on credit card__________________________________Chg.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)
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 ___
P.O. Box_______________________________________
Street address__________________________________
City______________________________ State_________
Zip___________ Phone #_________________________
Cell phone (optional) #____________________________
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 ___
P.O. Box______________________________________
Street address_________________________________
City_____________________________ State_________
Zip___________ Phone #________________________
Cell phone (optional) #___________________________
Email_________________________________________ |
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Name of Roommate(s)
(if on separate
form)___________________________________________________________________________
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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_____________________ |
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Name_________________________________________________
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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.
I also have read and understand Pilgrim Tours Terms and Travel
Conditions as stated to follow.
_________________________________________________
____________________________________________________
Signature required (first
passenger) Signature required
(second passenger) |
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Note:
If
you have a passport, please enclose a legible photocopy of
the identity information page. The quality of the photo does not
matter. |
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PILGRIM TERMS & TRAVEL CONDITIONS: |
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Deposit:
Your reservation will be confirmed upon receipt of your deposit of
$300.00 for international air 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.
Passports, 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.
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Travel/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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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 |
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Tour/Air Cost
Per Person |
Plan
Cost
Per Person |
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Coverage |
Schedule of Benefits |
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$1001-$1500 |
$93.00 |
Trip
Interruption |
Trip
Cost |
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$1501-$2000 |
$129.00 |
Trip
Cancellation |
Trip
Cost |
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$2001-$2500 |
$164.00 |
Trip
Delay ($100 max. per day) |
$500 |
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$2501-$3000 |
$200.00 |
**Missed
Connection |
$250 |
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$3001-$3500 |
$235.00 |
Baggage
& Personal Effects |
$1000 |
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$3501-$4000 |
$270.00 |
Baggage
Delay |
$100 |
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$4001-$4500 |
$305.00 |
Medical
Expense |
$10,000 |
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$4501-$5000 |
$340.00 |
Emergency Medical Transportation |
$20,000 |
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$5001-$5500 |
$407.00 |
Accidental Death & Dismemberment |
$25,000 |
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$5501-$6000 |
$445.00 |
Please note: A $3.00
transaction fee will be added per order. |
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