Reservation Form
Celebrating Life Ministries Pilgrimage

 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) $995
Meet the Group in Frankfurt $1,589
Travel Insurance Quote Yes

 Passenger Information:
All accommodations assume two persons per room. If you are traveling alone we will pair you up with someone else traveling alone.
If you prefer a private room, check the "Single" box. The additional cost for this pilgrimage is $199.00
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 confirm receipt with you via email.
If you indicated a departure city, we will request flights, and email you when we have the reservation back from our agent.
After reviewing all the details, if you wish to confirm, we will provide you with payment options. 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