To be assured of reservations, please complete and mail this registration form to
MTS TRAVEL, 124 E. Main St., 4th Fl., Ephrata, PA 17522, along with your deposit of $300 per person.

Please reserve space as follows on A Pilgrimage to England
with Rev. Gwynne Wright, September 14–25, 2009

Enclosed is my deposit of $__________ ($300 per person.)
Please make check payable to MTS TRAVEL OR pay by credit card below.

(Please Print - name(s) as they appear in passport)

Name 1: ___________________________________________  Nickname: ________________________

Name 2: ___________________________________________  Nickname: ________________________

Name ________________________________________________________________

Address ______________________________________________________________

City, State, Zip ______________________________________________

Telephone ____________________________________________________________

E-Mail Address ________________________________________________________

Signature:  __________________________________________________________

Room Type:  Twin/Double Single

Rooming With:  __________________________________________________________

Credit Card Information:

Please Charge:    My Deposit    My Final Payment

 Visa  Mastercard  Discover American Express

Card #: ______________________________________ Exp. _______________________________

Signature:  __________________________________________________________

Please use this space if second person has a different address, OR if more than two persons are traveling from the same address.

  _______________________________________________________________________________________________

  _______________________________________________________________________________________________

  I have read and understood the Tour Features and Conditions and agree to the terms therein.

Signature:  __________________________________________________________

ENG091309LCLW CST 2013363-40 www.mtstravel.com