Online Booking Form

Please fill out the booking fields carefully. Please ensure that all mandatory fields are filled in as all the information we ask for is essential. Fields marked with * are mandatory.

Please fill this section in with the details of the pilgrimage on which you wish to travel:

Name of Pilgrimage *

Departure Date *

Day Month Year Date Picker Icon

Full Name *

First name Last Name

Title *

Please fill this section in with the details of the person making the booking:

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

Area Code Phone Number

E-mail

Please fill this section in with the details of the person or people travelling:

All names to be written exactly as is written on the passport:

Number of Passengers *

Passenger One:

Title *

Full Name (Please provide all names as shown on passport) *

First & other names Surname

Nationality

Date of Birth *

Day Month Year Date Picker Icon

Passport Number

Passport Expiry Date

Day Month Year Date Picker Icon

Passport Country of Issue

Room Required *

I would like to share a room with: (if applicable)

Passenger Two: (if required)

Title

Full Name (Please provide all names as shown on passport)

First & other names Surname

Nationality

Date of Birth

Day Month Year Date Picker Icon

Passport Number

Passport Expiry Date

Day Month Year Date Picker Icon

Passport Country of Issue

Room Required

I would like to share a room with: (if applicable)

Passenger Three: (if required)

Title

Full Name (Please provide all names as shown on passport)

First & other names Surname

Nationality

Date of Birth

Day Month Year Date Picker Icon

Passport Number

Passport Expiry Date

Day Month Year Date Picker Icon

Passport Country of Issue

Room Required

I would like to share a room with: (if applicable)

Passenger Four: (if required)

Title

Full Name (Please provide all names as shown on passport)

First & other names Surname

Nationality

Date of Birth

Day Month Year Date Picker Icon

Passport Number

Passport Expiry Date

Day Month Year Date Picker Icon

Passport Country of Issue

Room Required

I would like to share a room with: (if applicable)

Special Requests (for diet, disability, etc)

Wheelchairs. You must advise us if you are taking any sort of wheelchair. If you are and it is non-motorised, you must name the able-bodied person who is to accompany you and push the wheelchair throughout the tour. You must supply details of motorised wheelchairs.

Special diets. We cannot guarantee your specific food requirements will be met. You should take your own supplies as back-up.

Please read the Pax Travel Booking Conditions before submitting your application.

I am over 18 years old and have read and understood the Pax Travel Booking Conditions (linked above) and accept them on behalf of those person named above. *

I accept.

We do not take payments on-line, but prefer to take these via telephone for the security of our clients.

Pilgrimage Booking Form

Special Requests