275 County Road, Walton on the Hill, Liverpool, L4 5PQ
Tel: 0151 287 8000 (Liverpool) 020 8287 8080 (London)
Fax: 0151 287 8008

Email: info@lourdes-pilgrim.com
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Online Booking Form

Balance to be paid no later than 8 weeks before departure.

Please ensure you have read the Terms & Conditions before filling in the form below:

Pilgrimage Information
Number of seats
Pilgrimage To
Number of Days
Pick up point
Departure Date
Personal Information
Full Name
Address
Telephone Number
E-mail Address
Details of all persons travelling
Person 1
Surname
Initials
Date of Birth
Room requirements
Single Double Twin Treble
Person 2
Surname
Initials
Date of Birth
Room requirements
Single Double Twin Treble
Person 3
Surname
Initials
Date of Birth
Room requirements
Single Double Twin Treble
Person 4
Surname
Initials
Date of Birth
Room requirements
Single Double Twin Treble
Person 5
Surname
Initials
Date of Birth
Room requirements
Single Double Twin Treble
Person 6
Surname
Initials
Date of Birth
Room requirements
Single Double Twin Treble
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