101 Foundation - Pilgrimage Request Form

Pilgrimage Reservation Form

** Non-refundable deposit of $300. No refund 60 days before departure. Payment in full is due 90 days before departure. Late fee of 1% of total bill after that date. **

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

Check Full Price Pilgrimage

$1599 *2009* Medjugorje
Mon., March 23, to Tues., April 1
(9 days, 8 nights)

$1999 *2008* Fatima
(annual)
Tues., April 22, to Tues., April 29
(8 days)

$3249 *2008* Poland
Sat., May 17, to Fri., May 30
(14 days)
(Corpus Christi celebration
May 22 in Krakow)

$3499
*2008* Germany/Austria ULM
(Passion Play)
June 15, to June 26
(12 days)
Deposit now or 2 years in advance

$3299 *2008* Fatima/Lourdes
(annual)
Sat., July 20 to Tues., Aug. 5
(18 days)
(Our most popular pilgrimage)

$2399 *2008* Ireland
(annual)
Sun., Aug. 10, to Fri., Aug. 22
(13 days)

$1799 *2008* Medjugorje
(1 day in Prague)
Mon., Aug. 25, to Wed., Sept. 3
(10 days)

$3499 *2008* Shrines of France
Mon., Sept. 8, to Thurs., Sept. 25
(18 days)

$2899 *2008* Holy Land & Egypt
Mon., Oct. 13, to Sun., Oct. 26
(14 days)

$1599 *2008* Medjugorje
Mon., Nov. 3, to Wed., Nov. 11
(9 days)

$1399 *2008*Guadalupe
Dec., 6, to Sun., Dec. 13
(8 days)

$899 *2008*Guadalupe
Land Only
Dec., 6, to Sun., Dec. 13
(8 days)

$3699 *2009* Shrines of Italy
Wed. Sept. 2, to Fri., Sept. 18
(17 days)

$3699
*2010* Germany/Austria Oberammergau
(Passion Play)
June 15, to June 26
(12 days)
Deposit now or 2 years in advance

$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 January 4, 2008