REGISTRATION FORM FOR MARCH 14th, 2025 PILGRIMAGE TO MEDJUGORJE FULL NAME (as it appears on your passport) * NAME SUBMITTED MUST BE AN EXACT MATCH OF THE NAME ON YOUR PASSPORT (INCLUDING MIDDLE NAMES IF APPLICABLE). First Name Last Name Date of Birth * MM DD YYYY Gender Male Female Departure Airport Do you need a single room (extra charge) ? YES NO Name of person you will share a room with Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Emergency contact (person not traveling with you) Passport expiration date MM DD YYYY NOTES and SPECIAL REQUESTS Thank you for registering !An invoice/confirmation will be sent to you in a couple of days, as well as, a link for online payment.A minimum deposit of $500.00 is due upon confirmation and the balance is due 60 days prior to departure.
