Pilgrimage Booking Page Add Traveler Details: Departure City Full Name * Passport Name (as written on passport) Preferred Name On Pilgrimage Nametag Gender Male Female Address Line 1 Address Line 2 City State Zip Code Phone * Home Phone Email * Emergency Contact Emergency Contact Cell Phone Preferred Roommate Full Name Single Traveler (Private Room) Yes NoSelecting this option adds a $200 single-occupancy fee. Number of Times Visited Medjugorje? Travel Insurance Desired? Yes No Air Travel Preference Economy Premium Business First Class Request Wheelchair? Yes No Diet Restrictions Other Information Next To book airfare for you, please mail a copy of your passport information along with your $400 deposit check to: Fiat Voluntas Tua, 3965 W 83rd St, Ste 153, Prairie Village, KS 66208Bottom of Form If paying by credit card, please fill out the statement below, then call Grace at 913-449-1806 to provide your card information. Your airline reservation will be issued based on the Passport information you have provided. If any changes are needed after your ticket is issued, it will be your responsibility for any increase in airfare or fees charged to reissue the ticket. There is a 3% processing fee for all credit card transactions. We recommend you read our Terms and Conditions on the last page. Passenger Legal Name * Enter your full legal name exactly as it appears on your passport. This name will automatically fill into the authorization statement below. Pilgrimage DateEnter the pilgrimage date you are registering for. This date will be inserted into the authorization statement below. I, , authorize Fiat Travel dba Fiat Voluntas Tua to book my land and flight arrangements for the pilgrimage. By providing my credit card information I accept and agree to the terms and conditions as provided on my registration form and printed below. I also accept the terms and conditions as they apply to the airline carrier I am traveling on. Book
