Booking Form-All Holidays
Greece 2011 & Croatia 2011
Morocco 2011/12 & Madeira 2011/12
Lapland 2011 |
St Owens Cross,
Herefordshire. HR2 8LJ |
Tel: (01989) 730552
Fax: (01989)
730662
email: holidays@rediscover.co.uk |
|
|
|
| Contact Details |
|
Other members of party |
|
| Title |
Initials |
Surname* |
Title |
M/F |
Initials |
Surname* |
Age |
| |
|
|
|
| Address:
Postcode: |
| Telephone (Home): |
|
| (Work): |
|
| Fax: |
|
| email: |
|
|
| Holiday Details |
|
Dates |
|
Special Requests |
| Accommodation Name |
Arrival |
Departure |
Nights |
|
| |
|
|
|
| Travel Details |
|
|
|
|
| Flight Departure Airport |
Special
Diets & other Requests |
| Day / Night Flight
Preferred |
|
|
| |
|
| |
|
|
|
| Car
Hire |
Group: |
|
(Yes / No) |
|
Name of Accomm. |
|
| Start
Date: |
|
Collect at Airport |
|
Deliver to Accomm. |
|
| Finish
Date: |
|
Return to Airport |
|
Collect from Accomm. |
|
| Special Requests -
(e.g. baby seat, roof rack): |
|
|
| Payment Details |
| Total value of holiday as agreed by
telephone / email
-
£ |
…………………………. |
| I enclose deposit of £......................... per person
(if booking within eight weeks, full payment) |
£
………………… |
| I authorise Rediscover the World Ltd. to take payment |
£ ………….. |
from my credit / debit card
(delete as appropraite) |
Issue no.
Start date: |
|
| Card
No.: |
|
Exp.………. |
Name:………………………….. |
| Security Code on
back of card (last 3 digits): |
| Signature of card holder: |
……………………………………….................... |
| Declaration
I have read and agreed the booking conditions and information
detailed in this brochure and accept them on behalf of the persons listed
above. I confirm that I am duly authorised to accept the holiday details
and prices and that I am 18yrs or over.
Signed:………………………………….
Name:………………………………….
Date:………………. |