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CostaBlanca Experience
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Name of client: |
Passport No |
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Address for all correspondence:
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Tel:(day) |
Fax |
Email:
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How did you hear about Costa Blanca Experience holidays?
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NAMES OF ALL PEOPLE STAYING AT THE ACCOMMODATION
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| Title |
Initial |
Surname |
Age (Only if under16) |
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Lodge Name
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From (Date and Approx,arraival)
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To (Date)
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| Total accommodation cost |
£ |
| Cot (Yes or No) |
£ |
| High Chair (Yes or No) |
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| Total Holiday Cost |
£ |
| Deposit 25 %(non refundable) |
£ |
| Outstanding amount (to paid six weeks pri0r to arrival) |
£ |
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| Payments may be made by cheque payable to costa Blanca Experience or by bankers transfer.Bank details below to . |
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I have read and agree to the booking
conditions
Signed.............
Date ...........
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