Kindly complete this form by filling in the fields,
printing the page, and signing.
Then either fax or mail to Gate 1 Travel.
We cannot accept electronic submissions.
Click Here for the pdf version
THIS SECTION TO BE COMPLETED BY THE CARD HOLDER
| Passenger name(s): | |||||||||
| Reservation # | |||||||||
| Amount Agreed: $ | |||||||||
| Cardholder (print name) | |||||||||
| Home Phone | |||||||||
| Address | |||||||||
| City |
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| Card # | |||||||||
| Security Code# |
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| Type of Card |
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| Expiration Date | |||||||||
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All tour pries reflect a 3% discount for purchases made with cash or check. |
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| Cardholder's Signature | |||||||||
| Name (printed) | |||||||||
| Date | |||||||||
Fax to CP/GATE 1 at
215-886-2228
or mail to:
Classic Pilgrimages
455 Maryland Drive
Ft. Washington, PA 19034
Thank You.