Jerusalem
Reservation Form

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

Tour Name:
  Departure Date :  
US Departure Airport:  

Passenger Name (as it appears on the passport) First / Middle / Last - Title: Mr / Mrs / Ms / Rev / Sr
1.
2.
Home Phone:
(       ) Fax: (       )
Street:  
   
City:
  State:   Zip:  
Deposit:
$ per person X = $
  (if paying by credit card, please complete and enclose credit card form)
Accommodations:
Single   Twin   Double   Triple  
Travel Insurance:
   per person X   = $  
 
Included Bill with Final Invoice I (we) Decline
Signature: 1.
  2.

Passenger Passport Information

Please complete the following form with your passport information. Print clearly please. A separate sheet may be used for additional names as necessary. Classic Pilgrimages must have the completed forms before airline tickets and tour documents can be released.

Passenger 1

  

Passenger 2
Name:   Name:
Date of Birth:   Date of Birth:
Citizenship:   Citizenship:
Passport #:   Passport #:
Date & Place of Issue:   Date & Place of Issue:


Please initial below, sign and submit with your payment.
Travel documents will be sent once this form has been received by Gate 1 Travel.

___ I have read and understood all terms and conditions including the terms of cancellation policies which may be reviewed at www.classic-pilgrimages.com/terms.asp. My payment and signature below constitute acceptance of those terms.
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.