Globo Tours 2000 srl Registration Form

**If any section below is left blank, your registration form will not be processed and you will not be confirmed on this pilgrimage

Date

Month

Day

Year

Group Name

Personal Information

Please print in BLOCK LETTERS your complete Last Name, First Name and Middle Name as they appear on your PASSPORT

Last Name

First Name

Middle Name

How would you like your first name appear on your nametag?

Email Address(Forms submitted without email address cannot be processed)

Confirm Email Address

Date of Birth

Gender

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Mobile Phone

Home Phone

Passport Information

Will you hold a U.S. Passport at the time of travel?

If "no", what nationality?

You must select one of the two choices below:Note: Globo Tours 2000 SRL is not liable for passports expiring within 180 days of the return date of the pilgrimage

Photo of my passportUpload file

No file chosen

Rooming Information

You must select one of the two choices below:

Enter the name of the person here

Payment Information

Registration deposit: $ by ... ,
Final payment due: by .... ,

You must select one of the two choices below:

Please complete one registration form per person (couples, submit two separate forms).

If any section above is left blank, your registration form will not be processed and you will not be confirmed on this pilgrimage.
Enclosed please find my $2,000 per person deposit for the above reference trip.
By submitting this payment, i acknowledge that i have read, understood, and agree to the “Terms and Conditions” in the accompanying brochure, including information related to pricing and cancellations.

Note: Further information and invoice will be sent within two weeks of receipt of your registration and deposit.