deposit form
RESERVATION/DEPOSIT FORM for Air to the Holy Land
Diocese of Southwest Florida Pilgrimage to the Holy Land led by
The Rt. Rev. Barry R. Howe Episcopal Diocese of Southwest Florida
August 7 – 20, 2018 Reference Number #KB18006 Howe Israel Air Only, Air from Tampa, FL Please send a copy of your passport with your application.
Name:
_________________________________________________________ (As appears on your passport) Address:______________________________City:__________________State:______Zip:______________ Phone: Home (______)___________________________ Cell: (______)_______________________________ (Parent if under 18)
Date of Birth: _______________________________________ _ Email: _____________________________________ Special Dietary Requirements:__________________ ______Global Entry/TSA #:
_______
Airline Seating Request: Aisle ______ Window ______ With Whom________________________________ We at Worldwide will do our best to get your requested seat assignment; however, they are under the airline’s control and are assigned by the airline.
Pricing based on a minimum of 10 passengers: 10 – 16 passengers $1,509.09* per person 17 – 23 passengers $1,443.07* per person 24 – 30 passengers $1,417.24* per person *Price includes airline taxes and fuel surcharges estimated at $700.18 per person and is subject to change until the airline tickets are issued. If the cost goes up we will invoice for the difference. The price is not guaranteed and may change once the airspace is confirmed. Air Itinerary will be confirmed early Fall of 2017. A deposit of $200.00 per person due with application and copy of passport by December 1, 2017. Final payment due by April 6, 2018. Terms and Conditions: 1. PRICES ARE CASH. AMERICAN EXPRESS ACCEPTED FOR FINAL PAYMENT ONLY ADD'L 4%. 2. Names as on passport. If name is incorrect & tickets reissued, $50 fee plus change fees from airline. 3. $100 deviation fee plus any additional airfare, hotel, tour or admission charges. Travel Insurance is NOT included. It is recommended that you purchase additional coverage. Go to our website www.worldwidepilgrimage.com and click on Travelex Insurance to read the coverages and rules regarding existing conditions or call 800-228-9792 Location # 09-1983. Cancel Schedule: Until April 5, 2018 $100.00 plus any unrecoverable fees April 6, 2018 or later No Refund I have read and understand the terms and conditions, the cancellation schedule and the final payment due date. Sign Here: _____________________________________
_______________________________________________________________
Signature (Parent if under 18). If passenger is under 18 traveling with only one parent or someone who is not a parent or legal guardian you will need a notarized letter for medical care and permission to take the child out of the country. Please see https://help.cbp.gov/app/answers/detail/a_id/268/~/children for more information.
Please make $200.00 deposit check payable to Worldwide Pilgrimage Ministries and mail with your reservation form to: Worldwide Pilgrimage Ministries • 1131 N. Laura St. • Jacksonville, FL 32206-3296
Diocese of Southwest Florida Pilgrimage to the Holy Land led by
The Rt. Rev. Barry R. Howe Episcopal Diocese of Southwest Florida
August 7 – 20, 2018 Reference Number #KB18006 Howe Israel Air Only, Air from Tampa, FL Please send a copy of your passport with your application.
Name:
_________________________________________________________ (As appears on your passport) Address:______________________________City:__________________State:______Zip:______________ Phone: Home (______)___________________________ Cell: (______)_______________________________ (Parent if under 18)
Date of Birth: _______________________________________ _ Email: _____________________________________ Special Dietary Requirements:__________________ ______Global Entry/TSA #:
_______
Airline Seating Request: Aisle ______ Window ______ With Whom________________________________ We at Worldwide will do our best to get your requested seat assignment; however, they are under the airline’s control and are assigned by the airline.
Pricing based on a minimum of 10 passengers: 10 – 16 passengers $1,509.09* per person 17 – 23 passengers $1,443.07* per person 24 – 30 passengers $1,417.24* per person *Price includes airline taxes and fuel surcharges estimated at $700.18 per person and is subject to change until the airline tickets are issued. If the cost goes up we will invoice for the difference. The price is not guaranteed and may change once the airspace is confirmed. Air Itinerary will be confirmed early Fall of 2017. A deposit of $200.00 per person due with application and copy of passport by December 1, 2017. Final payment due by April 6, 2018. Terms and Conditions: 1. PRICES ARE CASH. AMERICAN EXPRESS ACCEPTED FOR FINAL PAYMENT ONLY ADD'L 4%. 2. Names as on passport. If name is incorrect & tickets reissued, $50 fee plus change fees from airline. 3. $100 deviation fee plus any additional airfare, hotel, tour or admission charges. Travel Insurance is NOT included. It is recommended that you purchase additional coverage. Go to our website www.worldwidepilgrimage.com and click on Travelex Insurance to read the coverages and rules regarding existing conditions or call 800-228-9792 Location # 09-1983. Cancel Schedule: Until April 5, 2018 $100.00 plus any unrecoverable fees April 6, 2018 or later No Refund I have read and understand the terms and conditions, the cancellation schedule and the final payment due date. Sign Here: _____________________________________
_______________________________________________________________
Signature (Parent if under 18). If passenger is under 18 traveling with only one parent or someone who is not a parent or legal guardian you will need a notarized letter for medical care and permission to take the child out of the country. Please see https://help.cbp.gov/app/answers/detail/a_id/268/~/children for more information.
Please make $200.00 deposit check payable to Worldwide Pilgrimage Ministries and mail with your reservation form to: Worldwide Pilgrimage Ministries • 1131 N. Laura St. • Jacksonville, FL 32206-3296
