Our Lady of Fatima 100th Anniversary Pilgrimage Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Email* Traveler DetailsPlease fill our your traveler details below exactly how it appears in each passport. Traveler 1 Name* First Last Date of Birth* Gender*MaleFemaleTraveler 2 Name* First Last Date of Birth* Gender*MaleFemaleTraveler InformationPlease fill out your travel information below. Once this form is submitted, a Cara Group Travel representative will get in touch with a quote for your trip based on your requests.Package Option*$2,199 PP Sharing Double or Twin$2,899 PP Single RoomRooming PreferenceDouble RoomTwin RoomSingle RoomWould you like to request trip insurance?*YesNoTrip insurance policies are based on age related premiums. If you want to purchase insurance, we will provide you a quote once you have submitted this form. Would you like assistance booking your airfare?*YesNoIf YES, please advise of preferred departure airport in Additional Comments.Additional CommentsTerms and ConditionsPayment Schedule: Deposit Payment - Non-refundable deposit of $300 PP due at time of booking. Trip Insurance Payment - Premiums as outlined above due with deposit. Interim Payment - $1,000 PP will be due on Saturday 1st April 2017. Final Payment - Remaining balance per person due on Saturday 1st July 2017. Air Payment - Full payment due at time of booking airline ticket. Making Payment: Once you submit this form, a Cara Group Travel representative will get in touch with a quote for your trip based on your requests. If you decide to proceed with the booking, you can complete payment online, sending a check or by calling the office for your deposit, air and/or insurance if requested. Please be aware if Cara Group Travel is booking your airfare, full payment for the airfare is required in order to issue the ticket. Airfares are subject to availability and can change up to the time of ticketing. Payment Method: Payment Online - A secure link will be emailed to complete payment. Sending Check - Checks should be made payable to: Cara Group Travel, 180 Old Colony Avenue, Suite 300, Quincy, MA, 02 170. Calling the Office - Call 617-639-0273 to speak to a representative and make your payment using credit card. Cancellation Policy and Penalties: Deposit - Deposit of $300 non-refundable once paid. Land - From 30 days until 50 days prior to departure - 50% penalty. From 0 days until 29 days prior to departure - 100% penalty. Air - Non-refundable once paid and ticketed. Contact Details: Please contact Sara Stanton of Cara Group Travel for queries regarding travel itinerary on firstname.lastname@example.org or 617-639-0273. I understand and agree to the terms and conditions outlined above:Signature This iframe contains the logic required to handle Ajax powered Gravity Forms.