Name:
Phone
Fax
Email
Postal Address: Postal/zip code Country
Departure January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2000 2001
Accommodation Required Double or twin ensuite bath or shower Triple with ensuite bath Superior double with ensuite bath or jacuzzi bath Superior kingsize double or twin with ensuite bath or shower Superior deluxe four poster Double/twin rooms for single occupancy
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Estimated Arrival Time
Card Type VISA Mastercard Connect American Express JCB Access
Number
Expiry Date January February March April May June July August September October November December 2000 2001 2002 2003 2004 2005
Name on card, if different from the above
Card Billing address, if different from above