Agents Personal Reference: ABTA No:
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Travel
Agent’s Stamp
Agents Personal Reference: ABTA No: |
Please print, complete and
send this form to us by Fax on +44 (0)1273 329344
or post to 31
Meeting House Lane, The Lanes, Brighton BN1 1HB
PORTUGAL BOOKING FORM 2003
PARTY LEADER’S NAME AND ADDRESS FOR CORRESPONDENCE |
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| Title: | Initials: | Surname: | Daytime Telephone: | |
| Address: | Evening Telephone: | |||
| *Mobile Telephone: | ||||
| *Will you be taking this phone on holiday? YES/NO | ||||
| Fax: | ||||
| Postcode/Zip: | Country: | Email: | ||
| PARTY LEADER AND OTHER PASSENGERS NAMES | |||||
Title |
Initials |
Surname |
Age if under16 |
Our Flights |
Our Insurance |
| 1. | YES / NO |
YES / NO |
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| 2. | YES / NO |
YES / NO |
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| 3. | YES / NO |
YES / NO |
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| 4. | YES / NO |
YES / NO |
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| 5. | YES / NO |
YES / NO |
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| 6. | YES / NO |
YES / NO |
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| 7. | YES / NO |
YES / NO |
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| 8. | YES / NO |
YES / NO |
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| 9. | YES / NO |
YES / NO |
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| 10. | YES / NO |
YES / NO |
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| 11. | YES / NO |
YES / NO |
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| 12. | YES / NO |
YES / NO |
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| PLEASE ATTACH A SEPARATE LIST OF EXTRA PASSENGERS IF NEEDED | |||||
| PROPERTY DETAILS | |||
1st Property Name: |
Page/Ref: | Dates Required. From: |
To: |
2nd Property Name: |
Page/Ref: | Dates Required. From: |
To: |
IF YOU WANT US TO BOOK FLIGHTS FOR YOU PLEASE COMPLETE THIS SECTION |
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Departure Airport 1st Choice: |
Departure Airport 2nd Choice: |
IF YOU ARE ARRANGING YOUR OWN FLIGHTS PLEASE COMPLETE THIS SECTION AND NOTIFY US OF ANY CHANGES |
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| Outward Journey Flight Number: | Arrival Time: |
Date: |
Arrive: FARO/LISBON |
| Return Journey Flight Number: | Departure Time: | Date: | Depart: FARO/LISBON |
| TAXI/MINIBUS TRANSFERS Number of people on arrival: | Number of people on departure: |
| CAR HIRE Please complete 1 line for each car Number of Child Seats required: Number of Roof Racks required (if possible to fit to car): | |
| Car 1: Group Pick up: AIRPORT/VILLA Date: | Return: AIRPORT/VILLA Date: |
| Car 2: Group Pick up: AIRPORT/VILLA Date: | Return: AIRPORT/VILLA Date: |
| EXTRA SERVICES Please tick as appropriate | Please show if dates for items below differ from rental period |
| Basic Food Pack @ £27 | Number of Cots @ £25 per week |
| 4 Person Pack @ £38 | Number of Highchairs @ £15 per week - unless otherwise stated on villa details |
| 5-8 Person Pack @ £48 | Number of Portable Fans @ £6 per week |
| 9-10 Person Pack@ £55 | Number of Extra Bed(s) (if permitted) - see Villa Description |
| 11+ Person Pack #@ £65 | Pool Heating (if available) - see Villa Description YES/NO |
| If Vegetarian, please write 'VEG' in box | Air Conditioning/Heating (if available) - see Villa Description YES/NO |
| If you require our insurance and are resident in the U.K. premiums are as follows: | ||||
| HOLIDAY INSURANCE | Adults (18–64 years) |
Adults (65-75yrs) |
Children (2–17 years) | Children aged under 2 years on departure are insured free when accompanied by an insured adult |
| Up to 10 days | £18 |
£35 |
£10 | |
| Up to 17 days | £20 |
£40 |
£12 | |
| Up to 24 days | £22 |
£44 |
£15 | |
| ANNUAL WORLDWIDE TRAVEL INSURANCE | 1st Adult £69.50 + spouse add £50.50. Family £120 (1 or 2 parents with any number of dependent children under 18 years on departure date). | |||
| It is a requirement that all clients insure against all holiday risks. If you are arranging your own insurance, please give details below: | |
| Name of Company: | Policy Number: |
DEPOSIT/FULL PAYMENT AND INSURANCE PREMIUMS
Payment can be made by Personal cheque (payable to "The Villa Agency
Ltd") or by credit/debit/charge card (please note
that a charge of 1.6% will be added to each CREDIT/CHARGE
CARD transaction). The deposit is calculated as follows:
| PLEASE COMPLETE EITHER SECTION A OR SECTION B, DEPENDING ON THE DATE OF DEPARTURE | ||||||||||||||||||
| A. VILLA DEPOSIT PAYMENT - BOOKINGS OVER 8 WEEKS BEFORE DEPARTURE | ||||||||||||||||||
| Villa
Deposit
- based on the number of bedrooms in the villa 1 Bedroom £150, 2 Bedrooms £300, 3 Bedrooms £450, 4 Bedrooms £600, 5 Bedrooms £700 We require a larger deposit for certain villas - see Villa Description |
£ | |||||||||||||||||
| Flight Deposit* No. Flights | @ £40* per person | £ | ||||||||||||||||
| *Full Insurance premiums: No. Adults (18-64 yrs) | @ £ per adult | £ | ||||||||||||||||
| No. Adults (65-75 yrs) | @ £ per adult | £ | ||||||||||||||||
| No. Children (2-17yrs) | @ £ per child | £ | ||||||||||||||||
| Annual Travel Insurance - Total premium (Valid for UK residents only) | £ | |||||||||||||||||
| TOTAL
DEPOSIT PAYMENT FOR BOOKINGS OVER 8 WEEKS BEFORE DEPARTURE * Please note that some flight operators require full payment at time of booking |
£ | |||||||||||||||||
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B. VILLA FULL PAYMENT - BOOKINGS 8 WEEKS OR LESS BEFORE DEPARTURE |
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| Villa Rental | £ | |||||||||||||||||
| Flights (if cost known at time of booking) | £ | |||||||||||||||||
| *Full Insurance premiums: No. Adults (18-64 yrs) | @ £ per adult | £ | ||||||||||||||||
| No. Adults (65-75yrs) | @ £ per adult | £ | ||||||||||||||||
| *Valid for UK residents only No. Children (2-17yrs) | @ £ per child | £ | ||||||||||||||||
| Annual Travel Insurance - Total premium (Valid for UK residents only) | £ | |||||||||||||||||
| Extras: Highchairs, Cots, Pool heating etc | £ | |||||||||||||||||
| Arrival Food Pack | £ | |||||||||||||||||
| Car Hire: weeks @ £ per week | £ | |||||||||||||||||
| Security Deposit | £ | |||||||||||||||||
| TOTAL PAYMENT FOR BOOKINGS 8 WEEKS OR LESS BEFORE DEPARTURE | £ | |||||||||||||||||
| PLEASE DEBIT MY CREDIT/DEBIT/CHARGE CARD/ I ENCLOSE A
CHEQUE FOR: (please note that a charge of 1.6% will be added to each CREDIT/CHARGE card transaction) |
£ | |||||||||||||||||
| *I authorise the balance due to be debited from my account 8 weeks before departure (please delete if you don't want us to do this) | ||||||||||||||||||
| Cardholder's Name: Expiry date: Type of card: Issue N° (Switch): | ||||||||||||||||||
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| *If you pay your balance by credit/debit/charge card, the security deposit will be automatically refunded to the card | ||||||||||||||||||
9. DECLARATION Please check the Booking
Form carefully as a charge will be made for any amendments.
I certify on behalf of the persons named on the Booking Form that I have read and
agree to the conditions of booking and insurance and have read the brochure description
relevant to my holiday. I have no knowledge of any reasons which may give rise to the
cancellation or curtailment of this holiday, or a claim being made under any insurance
policy. I have insurance cover comparable or greater than the cover offered by The Villa
Agency. I understand that only persons named on this form may occupy the villa,
and that The Villa Agency does not accept single gender bookings, unless
previously agreed in writing by The Villa Agency Ltd. I am over 18 years of age.
Signed:___________________________________ Date______________________
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PLEASE TELL US HOW YOU HEARD ABOUT THE VILLA AGENCY |
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Travelled with The Villa
Agency before? How many
times? Which villas did you stay in? |
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| Where did you see our advertisement? | |
| Internet? | Other? (Please specify) |
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The Villa Agency was recommended by
(please give name and address) |
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