Reservation form for Guadalupe

RESERVATION FORM GUADALUPE PILGRIMAGE WITH AMY SCHISLER
Please complete the following information and send with your payment plus a copy of your Passport or other form of Proof of Citizenship (if you are not a U.S. citizen) to: Psalm 91 Ministries 7604 Cooper Point Road Bozman, MD 21612
NAME AS IT APPEARS ON YOUR PASSPORT*
ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
TELEPHONE*
EMAIL*
example@example.com
DATE OF BIRTH*

MonthDayYear
Date
SHARING A ROOM WITH?
SINGLE ACCOMMODATION?

Yes
AIRLINE REQUESTS:
Please indicate if you require wheelchair assistance at the airports. We will submit your request for airline seating but it is not guaranteed.
Option Three - You make your own airline reservations

Per person (two in a room) - $2,200.00; Deposit = $500Per person (single occupancy) - $2,500.00; Deposit = $500
I will make my own airline reservations and send you the flight information.

Yes
SPECIAL DIETARY REQUESTS Diabetic, Vegetarian, etc.
PLEASE INDICATE YOUR CHOICE:
Option One - Airfare included

Per person (two in a room) - 2.700.00; Deposit = $500Per person (single occupancy) - $3,000.00; Deposit = $500
Option Two - Airfare included - I make your reservation from your airport of choice (and you meet us in the connector city).

Per person (two in a room) - $3,000.00; Deposit = $500Per person (single occupancy) - $3,400.00; Deposit = $500Other
Please mail your cash or check payment to Psalm 91 Ministries at the address below, or pay now using PayPal.
OPTIONS FOR PAYING NOW:
prevnext( X )
Deposit
$520.00 Quantity



Full Payment per person (two to a room)
$2,808.00



Full Payment (Single Occupancy)
$3,112.00



Full Payment per person (two to a room) without airfare
$2,592.00



Full Payment per person (Single Occupancy) without airfare
$3,200.00



Balance per person (two to a room)
$2,288.00 Quantity



Balance per person (single occupancy)
$2,600.00 Quantity



Airport of Choice
$364.00 Quantity



Total

$0.00
Reservations are limited and will be on a first come, first serve basis

Pslam 91 Ministries c/o Amy Schisler 7604 Cooper Point Road Bozman, MD 21612 Telephone: 410-725-1693 email: amyschisler@psalm9lministries.com
Should be Empty:

RESERVATION FORM GUADALUPE PILGRIMAGE WITH AMY SCHISLER

AIRLINE REQUESTS:

PLEASE INDICATE YOUR CHOICE: