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

 

Complete this reservation form and return it with your payment to Pilgrim Tours, PO Box 268, Morgantown, PA, 19543

Tour name: Israel In Depth – May 22-June 4, 2010                                           Attn. Pilgrim Agent: Terry Sayer  _ _______________
Optional Extensions:   Jordan – June 4-7, 2010     yes ___                       Egypt – June 6-11, 2010     yes ___  

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) = $___________________  

Payment method:  Check ___      Mastercard ___      Visa ___   note: There is a 3% surcharge on credit card payment for land portion of cost.

Make checks payable to: Pilgrim Tours 

Credit card #______________________________________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 ____________________________________(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_________________________________________

Name of Roommate(s) (if on separate form)___________________________________________________________________________                         

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 Travel Conditions as stated to follow.

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

 

Note: If you have a passport, please enclose a legible photocopy of the identity information page. The quality of the photo does not matter.

 

PILGRIM TERMS & TRAVEL CONDITIONS:

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. 

 

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.

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. This program is offered by Pilgrim as a supplement to the policy below.

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

Tour/Air Cost
Per Person

Plan Cost
Per Person

 

Coverage

Schedule of Benefits

      $0-$500

  $501-$1000

$1001-$1500

$45.00

$74.00

$93.00

Trip Interruption

Trip Cost

$1501-$2000

$129.00

Trip Cancellation

Trip Cost

$2001-$2500

$164.00

Trip Delay ($100 max. per day)

$500

$2501-$3000

$200.00

**Missed Connection

$250

$3001-$3500

$235.00

Baggage & Personal Effects

$1000

$3501-$4000

$270.00

Baggage Delay

$100

$4001-$4500

$305.00

Medical Expense

$10,000

$4501-$5000

$340.00

Emergency Medical Transportation

$20,000

$5001-$5500

$407.00

Accidental Death & Dismemberment

$25,000

$5501-$6000

$445.00

Please note: A $3.00 transaction fee will be added per order.