Application form 1999

Name of the trip (itinerary): 
..........................................................................................................................................................................
..........................................................................................................................................................................
..........................................................................................................................................................................
..........................................................................................................................................................................
First day of the tour: .................................         Last day of the tour ...................................

Applicant's name: .........................................................................................................................................

Street .......................................................................
City .........................................................................
State (Country) ........................................................
Phone ......................................................................
Fax ..........................................................................
Age .................  Sex .....................   Ht. ...................
Passport # ................................................................
Issue date .................................................................
Exp. Date .................................................................
Place of issue ............................................................
Citizenship .................................................................
Date of birth ..............................................................

  Please charge me US$ ................ for land cost and US$ ................  for airfare. Please send me the invoice and I agree to pay deposit of US$ 100 in 10 days and the remainder 30 days before beginning of the tour.

Important Notices, Terms and Conditions

Booking Terms and Conditions

Deposit: US$ 100 should be paid by check (or by bank money transfer) to our bank account when sign up (within 10 days of receiving the invoice).
Payment: Final payment should be paid at least 30 days before the beginning of the tour.
Refund, Cancellation and No Shows:
   Land tour cost: For cancellation made not less than 20 days prior to departure date there will be a cancellation fee of US$ 100. Pilgrim Tours must be notified in writing (by fax). For cancellation made less than 20 days (or No Show), 50% of the Land cost will be charged. There will be no refund if member leave a trip for any reason either voluntarily or involuntarily after the trip has begun. No refund will be made for any services not utilized.
   Airfare: Pilgrim Tours shall refund customer 100% of the airfare minus all the cancellation fees retained by Airline.
   Bank expenses: Bank expenses will be charged to the client’s account.

Passport, Visa, Insurance.

Passport and visa: All members must be in possession of a valid passport and the required visa. Pilgrim Tours will advise and assist, but it is client's responsibility to procure the correct documents.
Insurance: Members must be protected by insurance that covers cancellation, accident, health, emergency evacuation and loss of or damage to baggage and personal effects.

Hotel accommodations:

People who occupy single rooms by choice must pay a single supplement fee.
Shared double room accommodation is OK. ...........      I prefer a single room. ................
Non-smoker ............       Smoker .................          Vegetarian ..............

In case of emergency please notify:

Name ............................................................. Address ..................................................................................
........................................................................ Phone .....................................................................................

Responsibility:

   Pilgrim Tours acts as an agent for transport companies, hotels and other contractors and shall not be held liable for any injury, damage, and loss delay and irregularity that may be occasioned for any reason, including, but not limited to, any defect in vehicle, the acts or default of any company or person engaged in conveying passengers, acts of God, detention, delay or expenses arising from quarantine, strikes, thefts, pilferage, force-majeure, civil disturbances, government restrictions or regulations, accidents by air-craft, boat, bicycle, or motor vehicle, or any hotel, inn, restaurant or accommodation, failure of any means or transportation to arrive or depart as scheduled or changes in transit, hotel, inn, guest house or camping service.

Release and Assumption of Risk:

   I am aware that, during the trip that I am participating in under the arrangements of Pilgrim Tours and its agents and associates, I may be subjecting myself to dangers and hazards, which could result in illness, injury or death. I recognize that such risks, dangers and hazards may be present at any time during the trip. I also am aware that medical services or facilities may not be readily available or accessible during some or all of the time in which I am participating in the trip. In consideration of, and as part payment for, the right to participate in the trip and the associated activities, services and food arranged for me by Pilgrim Tours and its agents or associates, I have and do hereby fully assume all risk of illness, injury or death, and hereby release and discharge Pilgrim Tours and its agents and associates from all actions, claims or demands for injury or damage resulting from my participation in the trip. I agree that the forgoing obligation shall be binding upon me personally, as well as upon my heirs, executors and administrators, and for all members of my family, including any minors accompanying me.

   I, the undersigned, insured under Policy by ...................................................................................................
Insurance Company, hereby release Pilgrim Tours and its staff from relations with the Insurance Company if an accident or injury occurs.

   I agree that I will not make any commercial offers to agents, subcontractors and/or employees of Pilgrim Tours.

   I also acknowledge that I have carefully read Pilgrim Tours information including its policy on cancelled trips and refunds, and agree to all stated conditions.

   I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and a contract between me and Pilgrim Tours and/or its affiliated organizations and sign it of my own free will.

 

Signature .............................................................

 

 

Date....................................................................

                     

FAX this form to Pilgrim Tours Ltd.:  (Moscow, Russia) or   (Boston, USA)

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