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Catholic Shrine Pilgrimage

Golden Frontier
4100 North Illinois St
Swansea, IL 62226
PH: 618-234-1445
FAX: 618-234-9861
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San Antonio, Texas

San Antonio, TEXAS
April 5 to 12, 2018

$100.00 is to be paid with the application. Three people registering together and sharing a two bedded room receive a $15.00 discount per person. Single accommodations are available for an additional $240.00 per person for the 7-day trip. Balance of fee is required 40 days prior to departure. You will receive a bill for final payment.

Clicking the submit button will transmit this application and charge authorization to GOLDEN FRONTIER, 4100 N. Illinois St., Swansea (Belleville), IL 62226. Please charge my deposit for this trip to my indicated credit card. Confirmation will be sent upon receipt of deposit and application. My electronic application indicates my electronic signature which I authorize to be the same as my original handwritten signature and agreement to the terms and conditions of the trip brochure.

REFUNDS AND CANCELLATIONS. All cancellations must be in writing. Guests canceling 60 or more days prior to departure receive a refund of the monies paid. Guests canceling from 59 to 41 days prior to departure forfeit the registration fee. Guests canceling 40 days or less prior to departure, no shows, or guests leaving the tour after departure receive a refund of only those fees recoverable by Golden Frontier from various suppliers. Guests canceling 60 days or less prior to departure and providing a replacement traveler receive a refund of fees. There are no refunds on unused tour features.

* Required Fields

SAN ANTONIO, TEXAS

*1st Passenger:

2nd Passenger:

Triple occupancy discount requested.:

Separate application and appropriate deposit required.

3rd Passenger:

*Mailing Address:

*City:

*State:

*Zipcode:

Home Phone:

Cell Phone (His):

Cell Phone (Hers):

My choice of departure location:

Single accommodations requested at $240.00 extra.:

I am a single traveler, but will accept a same gender roommate.:

My roommate for this trip is:

I/We are traveling with friends::

Nick name to use on name tags::

Disabilities limit my walking. Please request lodging staff to place my room near the coach loading area. I do not need a ground floor room if there is an elevator and my room is near it. Request a ground floor room if there is no elevator.:

I understand Golden Frontier has no control over room assignments assigned by lodging staff.

I have special dietary needs:

Email Address (You will receive a receipt by email after submitting form.) :

(ENTER NUMBER OF GUEST ON APPLICATION) Deposit per person:

X $100.00

* Payment Method:

Accountholder Information - must match billing information.

First Name:

Last Name:

Credit Card

Card Nbr:

**Numbers only

Exp Date:

CVV:

What is this?

Billing Address - must match billing information.

Street:

City:

State, Zip:

Country:

(OFFICE USE ONLY):

*Authentication:

*8 + 2 =

Enter the correct answer to the math question.

Please click the Send button only once.

GOLDEN FRONTIER

CATHOLIC SHRINE PILGRIMAGE

San Antonio, Texas