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Pilgrimage Reservation Form

When making an early reservation, call us at 908-689-8792 for discount information.

** Non-refundable deposit of $300
Single supplement... Varies with pilgrimage
No triple rooms. **

*** A copy of your passport picture page must be sent to the 101 Foundation Office when making a payment for a reservation. Our offices are located at 70 State Route 31 N, Washington, NJ 07882. ***

Full Name:
Address:
City:
State:
ZIP Code:
Country:
Phone:
Email:

Check Full Price Pilgrimage

$1899 *2011* Medjugorje
Mon., March 21, to Tues., March 29
(9 days, 8 nights)
$2899 *2011* Rome
Mon., April 25, to Mon., May 2
Papal audience,
expected
Beatification of John Paul II
Divine Mercy Sunday,
and anniversary of PJ II's death
(8 days)
$800 *2011* Rome
(optional entention to Fatima)
Tues., May 3, to Tues.,May 10
(8 days)
$2899 *2011* Medjugorje
(3 days in Prague)
Mon., May 23, to Fri., June 3
(12 days)

$1649 *2011* U.S. East Coast Shrines
Fri., June 24, to Tue., July 5
(12 days)
$3599 *2011* Fatima/Lourdes
(annual)
Wed., July 20 to Fri ., Aug. 5
(18 days)

$3799 *2011* Shrines of Italy
Wed., Sept. 7, to Fri., Sept,23
(12 days)

$1899 *2011* Medjugorje
Mon., Oct 10, to Tues., Oct. 18
(9 days, 8 nights)
$3799

*2012* France
Sat., Sept. 8, to Tues., Sept. 23-5
(18 days)
$1499 *2011* Guadalupe
Thurs., Dec. 6, to Thus., Dec. 13
(8 days)
$999 *2011* Guadalupe
Land Only
Thurs., Dec. 6, to Thurs., Dec. 13
(9 days)
$1000

Garabandal Miracle Flight
No deposits of partial payments accepted.

Health Condition:       Age:     
Male     Female

Smoker     Non-smoker

I desire a:
Single Room (at an extra charge)
Double Room
Triple Room (reduced cost - friends and family only)
(Room choices are not available for Garabandal Miracle Flight)

Need Roommate
My Roommate(s) is (are):

$ Total deposit amounts for pilgrimages checked (please enter amount)
$ Optional gift to help the 101 Foundation
$ Total (click in box to recalculate)

If paying by credit card, fill in the information below
Card Type: VISA Mastercard
Discover American Express
Card Number: (No Spaces)
Expiration Date: (mm/yy = month/year)
Comments: (Optional)

  

Please Note: Only click on the Submit button once, then wait. There will be a delay for several seconds before a confirmation message appears on your screen.
Thank you.

Revised October 14, 2010