Reservation Form

[an error occurred while processing this directive] Reservation Form To reduce the amount of information you need to supply we have created these 'Sections'. Please only open and complete the sections relevant to your holiday.

#dname#

#dname# #blocks#

Name	Title
	First Name*
	Surname*
	Email*
Postal	House Name/No
	Street
	Town*
	County
	Postcode
	Country
Telephone	Day
	Evening
	Mobile

#blocks#

Title

First Name

Initials

Family Name
(as shown in passport)

Age on date of travel if under 25 or over 65

#blocks#

Name of Hotel

Location

No of Rooms

Tick for
Smoking

Arrival Date (DD/MM/YY)

Departure Date (DD/MM/YY)

No of Nights

Code

Special requests

Special requests will be advised to hotel(s) but cannot be guaranteed

#blocks#

Car Type		Tick for SUPERCOVER GOLD

Collection Airport	Drop off Airport
		No of days Hire
Collection Date (DD/MM/YY)	Drop off Date (DD/MM/YY)	No of days Hire

Main Driver

#blocks#

Name of Tour

No of Rooms

Tick for
Smoking

Start Date (DD/MM/YY)

Finish Date (DD/MM/YY)

No of Nights

Code

Special requests

Special requests will be advised to hotel(s) but cannot be guaranteed

#blocks#

Departure (DD/MM/YY)

From:

To:

Pref. time:

Return (DD/MM/YY)

From:

To:

Pref. time:

Number of
passengers
travelling.
Please complete
all details in
section above.

Adults

Youth (12-17 Years)

Child (2-11 Years)

Infant (less than 2)

Do you prefer non-stop flights? (Connecting flights may be cheaper). YES

Are you interested in travelling Business Class?
If YES, do you wish us to quote for:
Outward flight only , Return flight only or Both

Special requests

Special requests will be advised to airline(s) but cannot be guaranteed

#blocks#

Do you require travel insurance?

YES

If NO please enter name of insurer:

Please Click Here to see our package. You are reminded of the the importance of having adequate Holiday Insurance - see Information & Booking Conditions.

Insurance will be added automatically to your invoice if you do not select "NO".
If you have entered "NO", please enter the name of your insurer. This is essential if you are to comply with our Booking Conditions.
Holiday Insurance premiums must be paid at the time of booking. If not, no cover is operative. Once a policy cover note is issued, Holiday Insurance premiums cannot be refunded.

#blocks#

How did you hear about The Holiday Group?

Which newspapers do you read?

Which magazines do you read?

Where are your areas of interest in North America?

The Holiday Group can also arrange flights and holidays to other parts of the world. If you would be interested in further information, please tell us where and roughly when your are considering travelling.

Where:

When:

Other:

Do you accept our Terms & Conditions?

YES

Holiday America, PO Box 45, Bexhill-on-Sea, East Sussex TN40 1PY, UK
Tel: +44 (0)1424 224400, Fax: +44 (0)1424 223300
Office hours: Monday to Friday 0900 – 1730; Saturday 0900 – 1300