Reservation Form
Fr. David Rider Pilgrimage: April 17-24, 2023

 Pilgrimage Information:
Departure Date
Destination
Departure City/Airport
Name of Parish

 Reservation Made By:
First Name *
Last Name *
Address *
 
City * State *  Zip *
Telephone
Fax
E-Mail *

 Pilgrimage Options:
Land Only (No Flights) $995
 Private Room Option $199
 Travel Insurance Quote Yes

 Passenger Information:
All accommodations assume two persons per room. If you are traveling alone, you will need the private room option, which is an additional $199.
Please check the "Single" box above.
Number of Travelers
Emergency Contact Information

In Case of an Emergency please provide us with a name, phone number, and email address of someone we can contact.

Name: *                     Phone: *
Email: *

Enrollment in the tour constitutes your acceptance of the program Terms and Conditions.

Once we receive your Reservation Form, we will contact you with deposit options.
Medjugorje Web 772 N Peace Rd. DeKalb, IL 60115
877.Web.Medj (932-6335)
815.333.2338 Fax
Email: sshawl@medjweb.com