Please fill out the following form in its entirety. For deposit instructions, see below.

    Personal Information (as it appears on your passport)

    Title

    First Name

    Middle Name

    Last Name

    Passport Number

    Nationality

    Birth Date




    Current Contact information

    Email Address (required)

    Phone Number

    Street Address

    Address Line 2

    City

    State

    Zip Code




    Emergency Contact information

    Full Name

    Phone Number

    Street Address

    Address Line 2

    City

    State

    Zip Code




    Other Tour Information

    I will make my $150 deposit: By CheckOnline

    I would like single room occupancy (additional cost): YesNo

    How did you hear about this tour?

    What do you want to experience on this pilgrimage?



     

    Deposit Instructions

    If you wish you make your payments online, please make them here. We have already added the 3% to the total for online payments. Click here for more information on pricing. 


    Payment Options

     

    If you wish to pay by check please make payable to Jacke Schroeder and send it to:

     Jacke Schroeder

    2731 Westminster Rd.

    Ellicott City, MD 21043