OUR LADY CALLS ---- Sign Up Form

Your Last Name *
Please fill out a separate Sign Up Form for each person. Thank you
Choose your pilgrimage. *
Aug 02 - Aug 12 2011........$2,499.00 Sep 28 - Oct 8 2011...........$2,199.00 Oct 17 - Oct. 25 2011........$2,099.00 April 25 - May 05 2012......$2,299.00 June 5 - June 15 2012........$2,599.00 Aug 02 - Aug 12 2012.......$2,599.00 Sep 25 - Oct 05 2012........$2,299.00 PRIVATE GROUP
2011 LAND ONLY PACKAGE..$1,099.00 Please Choose one of the above dates 2012 LAND ONLY PACKAGE..$1,199.00 Please Choose one of the above dates
Select your Private Group if applicable
Departure City: *

Cities from the U.S. and Canada are listed in this field. If you do not see your city listed, please scroll to the bottom, select "other" , and call us at 1-866-624-1981.
How Did You Hear About Us? *
Your full name as it appears on your passport. *
I prefer to be called: *

This is your first name that will be on your name tag. Nicknames are OK.
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Gender *
Female Male
Are you a United States or Canadian Citizen? *
Yes No
If you are not a United States or Canadian citizen please indicate what country you are a citizen of.
Country of Citizenship:
Phone Number Where We Can Reach You: * ### - ### - ####
Email *
Birthday * MM / DD / YYYY
Room type *
Single - $200 additional cost Double - Pair me with a roommate Double - I have a roommate Triple Quad
SINGLE ROOMS - A limited number of single rooms are available on a first come first served basis for an additional cost of $200.00. To hold your single please include this fee with your deposit.

DOUBLE PAIR ME WITH A ROOMMATE - Every effort will be made to fullfill your request with an appropriate roommate. If we are unable to do this we will charge a single supplement fee of $200.00

TRIPLE and QUAD ROOMS - A limited number are available. Triple and quad rooms are available on a first come first served basis. The price per person is the same as a double.
Roomate(s)
Do you have any special needs?
PLEASE NOTE: Ground floor rooms are assigned based on need.
EMERGENCY CONTACT INFORMATION
__________________________________________________________________________
Emergency Contact Name * First Last
Emergency Contact Phone Number * ### - ### - ####
Emergency Contact Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Relationship to you. *
DEPOSIT / PAYMENT INFORMATION

A nonrefundable deposit of $400 per pilgrim is required to hold your space. Prices and room type availability are subject to change without notice. Payment in full guarantees prices and room type among other things.

The remaining balance is due on the following dates:

August 2011 Pilgrimage: June 2, 2011
September 2011 Pilgrimage: July 28, 2011
October 2011 Pilgrimage: September 17, 2011
April 2012 Pilgrimage: February 25, 2012
June 2012 Pilgrimage: April 05, 2012
August 2012 Pilgrimage: June 02, 2012
September 2012 Pilgrimage: July 25, 2012
CANCELLATION POLICY

Cancellation charges are as follows:
60-46 days before departure: 10%
45-21 days before departure: 50%
20-03 days before departure: 80%
00-02 days before departure: 100%
Once airline tickets have been purchased, the ticket value cannot be refunded. Refunds for payments made by credit card are subject to an additional 3.5% fee.
Guarantees Policy

All prices, itineraries, guides, housing,meals, escorts, chaplains, transportation, dates and activities, of any kind are subject to change or cancellation without prior notice.
*
I have read and agree to the above Our Lady Calls Cancellation Policy and Guarantees Policy.
HOW TO PAY:

Please make checks payable to OUR LADY CALLS
17521 Dannybrook Dr. Granger, Indiana 46530

To pay by credit card please call us at:
866-624-1981 or 574-272-4959
We accept Visa, Mastercard and Discover.

If you have any questions you may call us
or email us at:
info@ourladycalls.com
Do Not Fill This Out

Wufoo

Please fill out a separate Sign Up Form for each person. Thank you

EMERGENCY CONTACT INFORMATION __________________________________________________________________________

DEPOSIT / PAYMENT INFORMATION

CANCELLATION POLICY

Guarantees Policy

HOW TO PAY:

EMERGENCY CONTACT INFORMATION
__________________________________________________________________________