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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:
ZIP Code:

Check Full Price Pilgrimage

$3599 *2016* Marian Shrines of India
Sat., Jan 16, to Sat., Jan 30
(15 days)

$2399 *2016* Medjugorje
Sun May 8 to Sun April 10
(8 days, 7 nights)

*2016* Quito, Ecuador
Thurs., May 12, to Fri., May 20
(9 days, 8 nights)

$1699 *2016* U.S. East Coast Shrines
Thurs., June 9, to Thurs., June 16
(8 days, 7 nights)

$2599 *2016* Poland Shrines
Fri., June 24, to Fri., July 1
(8 days, 7 nights)

*2016* Fatima, Portugal
Fri., July 22, to Fri., July 29
(8 days, 7 nights)

$2999 *2016* Ireland
Wed., Aug. 13, to. Tues, Aug. 29
(11 days, 10 nights)

$3899 Garabandal Miracle Flight

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 5, 2016