Reservation Form

 Pilgrimage Information:
Departure Date
Destination
Departure City/Airport

 Reservation Made By:
First Name *
Last Name *
Address *
 
City * State *  Zip *
Telephone
Fax
E-Mail *
How did you hear about us? 

 Pilgrimage Options:
Land Only (No Flights) $1095
 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.
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 your Reservation Form is received we will check flight availability, and confirm the total cost of your pilgrimage within 24 hours (excluding weekends).
If you wish to confirm we will provide you with payment details. Please contact us if you have any questions.
Medjugorje Web 772 N Peace Rd. DeKalb, IL 60115
877.Web.Medj (932-6335)
815.333.2338 Fax
Email: sshawl@medjweb.com