Booking Form 2012
After completing a reservation with us, please fill in and submit the booking form below.
* =Required fields.
I wish to fly from:
London Gatwick Manchester Stansted (peak dates only)
Please provide the following contact information for the party leader to which all correspondence should be sent to:
Title Mr Mrs Ms Master Miss First Name(s) *Surname Address Address Town County / State Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua/Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia/Herzegovina Botswana Bouvet Is. Brazil British Indian Ocean Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Is. Central African Republic Chad Chile China Christmas Is. Cocos (Keeling Is.) Colombia Comoros Congo Congo, DR Cook Is. Costa Rica Ivory Coast Croatia (Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Is. Faroe Is. Fiji Is. Finland France French Guiana French Polynesia Gabon Gambia, The Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard/McDonald Is. Honduras Hong Kong S.A.R. Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Korea, North Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau S.A.R. Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Is. Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Antilles Netherlands, The New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Is. Northern Mariana Is. Norway Oman Pakistan Palau Panama Papua new Guinea Paraguay Peru Philippines Pitcairn Is. Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda St. Helena St. Kitts/Nevis St. Lucia St. Pierre/Miquelon St. Vincent/Grenadines Samoa San Marino Sao Tome/Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Is. Somalia South Africa S. Georgia/Sandwich Is. Spain Sri Lanka Sudan Suriname Svalbard/Jan Mayen Is. Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad/Tobago Tunisia Turkey Turkmenistan Turks/Caicos Is. Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States U.S. Outlying Is. Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Is. (British) Virgin Is. (US) Wallis/Futuna Is. Yemen Yugoslavia Zambia Zimbabwe Zip/Postal code Home Tel Work Tel *E-mail
Type of Holiday:
Villa Only Inclusive Package Two Centre Fly Drive Walking Sailing
Please provide the following passenger information:
Will Car Hire be required (where not already included)?
Yes No
Group: A B C 4 x 4 for days.
Please provide the following details:
From Date Collection Place Property Airport To Date
Will Boat Hire be required (where not already included)?
Power: 15hp 25hp 30hp 40hp for days.
From Date To Date
Holiday Insurance It is our company policy that all clients travelling with us are required to insure against all holiday risks. Travelux has a range of comprehensive travel insurances at competitive rates to offer. These include European trips, Worldwide, Annual and Family policies. For a quote please call 01580 764344 or we can call you. If you do not take our insurance please complete the declaration box below. Once invoiced there can be no refund of insurance premiums whatever the circumstances. Payment of insurance premiums must be included with your holiday deposits. For insurance information and prices, click here
Would you like a quote for our insurance?
Yes No If 'No' is selected, please complete the following: I have taken an alternative holiday insurance policy that is comprehensive and covers at minimum all that is listed under Travel Insurance. My insurers are * 24 hour emergency contact number * Policy Number *
Special Requests Including special meals, cots, child car seats etc:
How did you hear about us?
Search Engine Clicked on Banner/Button Advert Printed Advertisement Travelled with Travelux before Other ************
Search Engine Clicked on Banner/Button Advert Printed Advertisement Travelled with Travelux before Other
************
On receipt of the above, we will contact you to confirm the booking and arrange your preferred method of payment.
Please note that this form is for a provisional booking only, and is not confirmation of a final booking.
Important! I have read and understood Travelux Holidays TERMS & BOOKING CONDITIONS: (Please read and confirm before submitting)
Once we have received your request it will be dealt with and responded to as soon as possible within office hours.