Client Information

Name (*)

Company Name

Travel Agent Name (if you are a travel agent)

Mailing Address

Telephone (*)

Fax

E-Mail (*)

Vacation Details

Please add more details about your vacations

Date (Arrival) (*)

Date (Departure) (*)

Number of Persons (*)

Type of Accommodation (Single Room - SGL):

Number of Adults

Number of Single Rooms

Type of Accommodation (Double Room - DBL):

Number of Adults

Number of Double Rooms

Type of Accommodation (Triple Room - TPL):

Number of Adults

Number of Triple Rooms

Type of Accommodation (Triple Room With Children - TPLCHD):

Number of Adults

Number of Children (4 - 12 yrs)

Number of Triple Rooms with children

Preferred Holiday Type (*)

Placees of Interest (*)

Hotel Category
5 stars4 stars3 stars

Program inclusions (please place your request):

Special Notes (please place your request):