Pilgrimage To England Reservation Form

        BOLLING  FAMILY  ASSOCIATION   
        PILGRIMAGE  TO  ENGLAND
        SEPT. 22 – OCT. 1, 2012
        RESERVATION  FORM

NAME  (LEGAL):______________________________________________DATE OF BIRTH:______________
   (Legal name here must match your passport exactly)
 
HOME  PHONE:_______________________________________ CELL PH:_____________________________
 
EMAIL:____________________________________________________________________________________
 
STREET ADDRESS:_________________________________________________________________________
 
CITY:_____________________________________________   STATE & ZIP:___________________________
 
PASSPORT NUMBER:________________________________  EXPIRATION DATE:____________________
 
GROUP DEPARTURE POINT:   IAD  /  WASHINGTON DC – DULLES AIRPORT  Airport Hotel:     YES     NO
 
I’M ARRIVING AT IAD AIRPORT BY:  (CIRCLE ONE)         CAR        PLANE    Flt info:     
PLEASE CALL ME REGARDING AIRFARE FROM:_______________________________________________________
 
AIRLLINE SEATING PREFERENCE :   (CIRCLE ONE)                         WINDOW                      AISLE
 
I WILL WORK OUT MY OWN TICKET & SEND MY FLIGHT INFORMATION TO YOU.  AIRLINE:_____________
 
 
MY TRAVEL COMPANION IS:________________________________________________________________________
 
HOTEL PREFERENCE:   (CIRCLE ONE):          TWIN BEDS                    DOUBLE / QUEEN BED
 
MY ROOM PREFERENCE IS:        SMOKING            NO SMOKING             HANDICAPPED ROOM
 
DIETARY OR OTHER TRAVEL RESTRICTIONS:_________________________________________________________
 
TRAVEL INSURANCE IS AVAILABLE AND HIGHLY RECOMMENDED.  CAROL SMITH WILL GIVE YOU
A PRICE QUOTE FOR TRAVEL INSURANCE ONCE YOUR DEPOSIT HAS BEEN RECEIVED.
FULL TOUR COST IS $3350.00 PER PERSON, BASED ON DOUBLE OCCUPANCY.
SINGLE SUPPLEMENT IS $750.00.  CONTACT CAROL SMITH FOR FULL TERMS AND CONDITIONS.
 
RESERVATION FORM & DEPOSIT DUE BY MAY 1, 2012:  $500.00 PER PERSON
SECOND PAYMENT DUE BY JUNE 15, 2012:  $1100.00 PER PERSON
FINAL PAYMENT DUE BY AUG. 1, 2012:  $1750.00 EACH (PLUS $750 SINGLE OCCUPANCY)
 
 
SIGNATURE:_____________________________________________________  DATE:___________________