| Couture Travel Company Booking Form |
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| Please note that it is
a mandatory requirement to complete this form for all reservations |
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| Details of Principal
Person |
Details of all persons travelling as per
passports
(start with principal person if applicable) |
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Forename |
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Title |
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Forename |
Nationality |
Passport Number |
Age on Date |
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| Surname |
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of Departure |
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| Address |
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Postcode |
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| Daytime Tel. |
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| Evening Tel. |
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| E-mail |
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| In
the event of an emergency whilst on holiday please provide us with a contact
name and tel no: |
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| Details of Holiday Accommodation |
Payment |
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| Destination |
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Prepayment - 20 percent of
Accommodation** |
£ . |
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| Prepayment
- 10 percent of Services** |
£ . |
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| Hotel / Resort |
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| Prepayment
- 100 percent of Flights |
£ . |
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| Room Grade |
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Full Payment - if less than 60 days to
departure |
£ . |
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| No of Rooms |
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Total
amount enclosed |
£ . |
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| ** Additional deposits may be
required to confirm certain accommodation (e.g. Villas), for certain services
and over the Christmas period. Full details will be advised at the time of
booking. |
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| Meal Plan |
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| Arrival Date |
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| Departure Date |
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| Cheques should be made payable
to The Couture Travel Company Limited |
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| Special
Requests (cannot be guaranteed) |
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| Credit Card Payments |
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| Visa or Mastercard only are
accepted for the payment of the 10 percent deposit. If full payment or the
payment of the balance is made by the credit cards, a 3% surcharge will be
levied |
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| Details of Holiday Flights |
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| Credit Card Number |
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| Departure
Date |
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| Card Expiry Date |
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| Departure
/ Arrival Airport |
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Security code (3 number digit on signature strip) |
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| Cardholder name & address |
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| Airline
/ Flight Number |
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| Travel
Class (outbound/inbound) |
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| Declaration: I have read, understand and accept the booking procedures, terms
and conditions of The Couture Travel Company and I am authorised to accept
them on behalf of all persons included on this booking form. |
Signature |
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| The
air holidays and flights* shown are ATOL Protected by the Civil Aviation
Authority. Our ATOL number is ATOL
9315. Protection extends primarily
to customers who book and pay in the United Kingdom. Click on the ATOL logo if you want to
know more. |
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| Signed
..
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Dated
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| Please
enter the name, contact details, policy number and expiry date of your
insurers |
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| The Couture Travel Company Limited - 1 Bishop House North,
The Bishop Centre, Hitcham Road, Taplow SL6 0NY |
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| Tel: +44 (0)1753 686 372
- Fax: +44 (0)1753 687
187
info@couturetravelcompany.com |
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