Register for a Pilgrimage

 

Please print this page, fill it in and mail it with your deposit to

 

Give Thanks and Remember

 1484 Morris Pond Dr. Ste B2

 Locust Grove, VA 22508

 

 

 make check out  to:

 Give Thanks and Remember

 


GENERAL INFORMATION

PILGRIMAGE TO    DATES    

Departure City:    Airport:      

 

RESERVATION MADE BY

 

First Name:     Last Name:    

Address: 

City:    State:    Zip Code: 

Phone:    Fax: 

Email:    

How Did You Hear About Us?:

 

REGISTERING - (Name as it appears in Passport)

Passenger 1.
Last Name: 
   First Name:    

US Citizen  Y/N: 

Accomodations Requested (Single, Double, Triple):   

Any Special Needs:

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Passenger 2.
Last Name: 
   First Name:    

US Citizen  Y/N: 

Accomodations Requested (Single, Double, Triple):   

Any Special Needs:

*******************************************************************************************************

Any Additional Comments :

Note that  you are accepting the Terms and Conditions that we must work under             when you register and pay for any pilgrimage journey.   Print a copy for your records.

 

 

 

 

 

 

 

 

  ©GTR Pilgrimage