Costa Blanca Experience

Name of client:

Passport No
Address for all correspondence:
Tel:(day)
Fax
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How did you hear about Costa Blanca Experience holidays?

NAMES OF ALL PEOPLE STAYING AT THE ACCOMMODATION
Title
Initial
Surname
Age (Only if under16)























 
Property Name  
From (Date and Approx,arraival)  
To (Date)  
Total accommodation cost  £
Cot (Yes or No)

  High Chair (Yes or No)
 
Total Holiday Cost £
Deposit 10 %(non refundable)  £
Outstanding amount
(to paid in cash on arrival)
 
£
 

Payments may be made by cheque or by bank transfer.
Please telephone us for details (0034) 662 339 439


I have read and agree to the booking
conditions
 
Signed
Date