Regina RICA Reservation Form
Please complete the reservation form
Departure Date
MM
/
DD
/
YYYY
Destination:
Coming by:
Required
Reservation Made By:
First Name
Your answer
Last Name:
Your answer
Address:
Your answer
City:
Your answer
E-mail Address:
Your answer
Contact No.:
Your answer
How did you hear about us?
Your answer
Inquiry
Preference:
How many:
Male:
Your answer
Female:
Your answer
Children:
Your answer
Pilgrimage Information
Name of Pilgrim 1
Your answer
Name of Pilgrim 2
Your answer
Name of Pilgrim 3
Your answer
Name of Pilgrim 4
Your answer
Name of Pilgrim 5
Your answer
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