This form should be filled in and faxed to Pilgrim Tours if you agree to participate in Peak Lenin tour. This is the application for Bishkek - Peak Lenin - Bishkek program only. Additional services must not be mentioned here. All extensions have to be discussed and priced separately. 
Name of the trip:   Peak Lenin accent, start from Bishkek on August 23, ends in Bishkek on September 16.

Applicant's full name:  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Street address:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

City: . . . . . . . . . . . . . . . . . . . . . . Country: . . . . . . . . . . . . . . . . . . . . .

Phone: . . . . . . . .  . . . . . . . . . . . . . . . . .  Fax: . . . . . . . . . . . . . .  . . . .

E-mail: . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date of birth: . . . . . . . . . . . . . . . . .

Sex (M/F) . . . . . . . . . . . . . . . . . . .

Citizenship: . . . . . . . . . . . . . . . . . .

 Passport # . . . . . . . . . . . .  . . . . . . .

Exp. Date: . . . . . . . . . . . . . . . . . . .

Please charge me US$  . . . . . . . for the tour. Please send me the invoice. I agree to pay deposit of US$ 150 within 10 days of receiving the invoice and the remainder at the latest 25 days prior to the program.

Important Notices, Terms and Conditions

Booking Terms and Conditions

Deposit: US$ 150 should be paid by cash transfer (Western Union or MoneyGram) or by bank money transfer to our bank account when sign up (within 10 days of receiving the invoice). You can make full payment as well. 
Payment: Final payment should be paid at least 25 days before the beginning of the tour. Bank expenses should be paid by a customer.
Refund, Cancellation and No Shows:
Should you wish to cancel your booking advise us in writing (by fax) immediately. For cancellation made not less than 20 days prior to departure date there will be a cancellation fee of US$ 150. For cancellation made less than 20 days (or 'No Show'), US$ 300  will be charged. There will be no refund if a member leaves a trip for any reason either voluntarily or involuntarily after the trip has begun. No refund will be made for any services not utilized. 
Pilgrim Tours reserves the right to cancel a tour at any time prior to 20 days before departure if the minimum group size is not achieved and we will refund any moneys paid to us. In such case no further compensation will be paid. 
We strongly recommend to have proper insurance to avoid any money loss.

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 . . . . . . . .

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 . . . . . . . . . . . . . . . . . .

                      

Please fax this form to Pilgrim Tours Ltd.:
(Moscow, Russia) or (USA).
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