| Passenger Information: |
All accommodations assume two or three persons per room. If you are traveling alone, you will need the "Single Room" option, which is an additional $200.
Please check the "Single Room Option" box above. Your passport MUST be valid for 6 months after your return (January 18, 2025) |
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Number of Travelers
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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: *
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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.
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Medjugorje Web  772 N Peace Rd. DeKalb, IL 60115 |
| 877.Web.Medj (932-6335) |
| 815.333.2338 Fax |
| Email: sshawl@medjweb.com |
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