Whartons Travel - AGENT BOOKING FORM Address: Whartons Travel Ltd, Crossdoney, Cavan, Co.Cavan, Ireland Phone: +353 49 433700 Fax: +343 49 4337634 |
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FILL OUT THE FOLLOWING BOOKING FORM. PRINT
IT. FAX or POST IT TO US.
When booking please refer to the exact sporting / holiday package you require |
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| State package title here | Date | Amount per person | ||
| please enter 0 for No. of Rooms if in the person is sharing a room | |||||
| Title | First Name | Last Name | Insurance | No.of
Rooms
|
Room Type |
| Total Amount Due: |
|
Name/Company (Block Capitals) |
Telephone | Ext: | |
| Address |
|
Mobile | |
|
Postcode(if applicable) |
| Pay by Card | |
| Card Type: | |
| Card No: | ________________________ |
| 3-4 Digit ID: | ______ |
| Expiry Date: | ____________ |
| Issue Date: | ____________ |
| Issue Number: | ___ |
| Signature: | ________________________ |
| NOTES: |