|
REGISTRATION FORM AND TERMS & CONDITIONS
Passport name only (please print)
Mr. / Mrs. / Ms. / Priest / Sister (circle one)
Name (Last): _______________________________________
(First): _________________________________
Address:______________________________________________________________________________________
City: ________________________________________ State/Province:
______________________________________
Zip/Postal Code:________________ Home PH
(____)_________________
Work PH (____)_____________
e-mail:______________________________________ Emergency Contact PH:
(____)_________________
Relationship___________________________
Valid passport required. Visa required for non-U.S. and Canadian citizens. All others,
please check with your local tourist office. ALL PASSPORTS MUST BE VALID AT
LEAST 7 MONTHS AFTER DEPARTURE DATE.
Passport #: ______________________ Date of Issue:
_________________ Exp.
Date: ______________
Place of Issue: ____________________ Date of Birth:
_________________
Place of Birth: _____________________ Country:
______________________
Citizenship: _______________
Enclosed is my non-refundable deposit (except if covered
by insurance*) of $500 per person at the time of your deposit for the
MARY'S PILGRIMS Pilgrimage
Final balance Group of $ ________on _______
TYPE OF ROOM REQUESTED:
Single / Double / Triple (please circle
one)
My roommate is __________________________________ I need a roommate(s) YES / NO (circle
one)
DONATION: I want to help pay for my parish priest,
religious, or guest speaker
$__________________
Responsibility: Mary's Pilgrims acts only as a agent for all of the services included on the tour and
as such will exercise reasonable care in making the arrangements for the
conduct of the tour. Mary's Pilgrims does not assume any responsibility or
liability for any claims, damages, expenses, or other financial loss
whether to person or property arising from any injury, accident, death, cancellation,
delay, alteration or inconvenience resulting from any act of omission,
commission, and/or inadvertence of any hotel, carrier, restaurant other
company or person rendering any and all of the services included in the
tour, or caused by weather, sickness, strikes, war, terrorism, quarantines
or the willful or negligent acts of tour members or any other caused beyond
the control of Mary's Pilgrims. Tour itineraries and dates may be affected
by changes caused by transportation or other services during the tour. The
right is reserved: to withdraw any tour in this program; to make
alterations in the itineraries found desirable for the convenience of the
tour members and the proper carrying out of the tour; and to decline to
accept or retain any person as a tour member at any time. Participating
airlines and other transportation companies whose services are featured in
these tours are not to be held responsible for any persons who fail to
appear during the time of boarding for their transport. The transportation
contract is used by these companies shall constitute the sole contract
between the companies and Mary's Pilgrims and/or passenger.
I HAVE READ THE ABOVE AND AGREE WITH THE TERMS AND
CONDITIONS:
Signature _________________________ Signature
____________________________ Date _____________
Make checks payable to Mary's Pilgrims, 1200 Potter's
Wheel Cres., Oakville,Ontario,
L6M 1J2, Canada (99¢ postage from U.S. to Canada)
Phone:
(905) 847-9750; FAX (905) 827-9607
1-800-VIR-MARY (847-6279) Ontario TICO
registration No. 032306
e-mail: jesus@maryspilgrims.com website: www.maryspilgrims.com
|