Medjugorje 2013 Pilgrimage Reservation Form

1. Address: 360 Highway 7 East, Unit L1 Suite 9, Richmond Hill, Ontario, L4B 3Y7 Tel: (416) 900-0270 Email: medjugorje@catholic.org Web site: www.medjugorjeca.org Medjugorje 2013 Pilgrimage Reservation Form • Last Name: __________________________ First Name: __________________________________ Sex: M / F • (Please print names as it appears on your passport. Any irregularity or cost incurred with name changes, after reservation, will be the responsibility of the pilgrim.) • Address: ______________________________________________________________ Email : ________________________ Phone: Work:_________________________ Home: ___________________________ Mobile: _________________________ • Passport Issuing Country: __________________________________ Expiry Date: _________________________________ • (Any irregularity or cost incurred due to incorrect information provided, will be the responsibility of the pilgrim.) • I wish to join the Medjugorje Pilgrimage(s) departing from Toronto: • June15 to June 26, 2013 at $1950.00 (Group A) July 27 to August 8, 2013 at $1,950.00 (Youth Festival: • June 25 to July 8, 2013 at $1950.00 (Group B)Youths aged 12 to 21 will be subsided $500 per head.)October 4 to October, 15, 2013 at $1700.00 For reservation, complete the Pilgrimage Reservation Form and return to Medjugorje Centre of Canada with deposit. • Price includes: • Round trip airfare, between Toronto via a European connecting city and Sarajevo. • Round trip land transfer by motor coach between the airport at Sarajevo and Medjugorje. • Accommodation in Medjugorje on sharing room basis. • Breakfast and dinner daily in Medjugorje. • Land transfer to and from churches and institutes close to Medjugorje. • Talks given by the visionaries or guest speakers when available. • A local licensed English-speaking pilgrimage director. • Not included: Airport tax, lunches, gratuities for hotel staff and bus drivers. Page 1 of 2

2. Insurance: • I understand that I have to arrange my own trip cancellation insurance if so desired, and mandatorymedical insurance. • Deposit: • $300 deposit is required at time of reservation. • Deposit is NON-REFUNDABLE but is transferrable before full payment is due. • Full Payment • Full payment, being balance of pilgrimage price and deposit, is due latest 60 days before departure. • Refund of payment is subject to the following cancellation policy. • Cancellation Policy: • Cancellation occurs between 60 to 90 days before departure – eligible for refund of 50% of the full payment. • Cancellation occurs between 30 to 60 days before departure – eligible for refund of 33% of the full payment. • Cancellation occurs between 30 to departure day – not eligible for refund. • Refund for credit card payment is subject to 3% of the final payment amount as service fee. • Reservation Deadline: 30 days before departure • (Medjugorje Centre of Canada reserves the right not to accept any reservation) • Special Needs (if any) : ___________________________________________________________________________ • In case of emergency, contact: ______________________Telephone: ______________Relationship: ____________ • I wish to share a room with _____________________ Please assign me a roommate (s) ________________ • Signature: _______________________________________ Date: ____________________________________ Please pay cash or by cheque made payable to Medjugorje Centre of Canada A 3% service fee, per transaction, will be levied for payment by credit card “If you knew how much I love you, you would cry for joy.” (January 3, 1982) Page 2 of 2