Page Text Content
EUROPEAN JOURNEYS RESERVATION FORM 2008 - 1ST EDITION
PASSENGER DETAILS - AS THEY APPEAR IN YOUR PASSPORT
Title DD/MM/YY DD/MM/YY DD/MM/YY DD/MM/YY DD/MM/YY DD/MM/YY Full First Name Surname D.o.B. Passport No.
Please read the Booking Conditions and other information carefully before completing this form in Block Letters, and return to Cox & Kings with your remittance. It is essential that you complete the sections tinted in pale grey as these include mandatory information.
Nationality
Date of Issue DD/MM/YY DD/MM/YY DD/MM/YY DD/MM/YY DD/MM/YY DD/MM/YY
Date of C&K Expiry Insurance* DD/MM/YY Yes/No DD/MM/YY Yes/No DD/MM/YY Yes/No DD/MM/YY Yes/No DD/MM/YY Yes/No DD/MM/YY Yes/No
C&K Visa** Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No
*TRAVEL INSURANCE: It is required that every passenger holds adequate travel insurance cover at the time of booking. The details of Cox & Kings' travel insurance policy can be found on the reverse side of this form. The appropriate insurance premium will automatically be added to your holiday price unless you supply the details of your alternative insurance (which must offer comparable or better cover) in the space below. Insurance Company: Policy Number: Emergency Assistance Company: Telephone No:
**VISAS: Visas are required for some destinations. Regulations change, so please check the latest requirements before booking. Cox & Kings can only process visas for British passport holders resident in the UK. If you would like Cox & Kings to obtain your visas there is a £25 per person fee in addition to the visa cost.
Contact details of lead passenger Name: Address: Postcode: Daytime Tel: E-Mail Address: Home Tel:
Contact details of next of kin (not travelling) in case of emergency Name: Relationship: Address: Telephone No:
Postcode:
TOUR DETAILS
Tour Type GROUP TOUR INDIVIDUAL TOUR Type of Accommodation (subject to availability) Twin Double Single Triple / Family International flight upgrades (subject to availability) BA World Traveller Plus Virgin Premium Economy Business Class First Class Tour Name / Tailor-Made Journey Tour Extension
Tour Code
Date of Departure
Flight Preferences (subject to availability)
Regional Airport (specify) Alternative Airline (specify)
Special Requests (subject to availability) - e.g. airline dietary requirements (please specify):
Special Occasion - please specify type and date:
PAYMENT DETAILS
DEPOSIT 15% of your Total Holiday Cost (or £250 per person whichever is greater) If a larger deposit is required you will be informed at the time of booking INSURANCE (payable at time of booking) Max indemnity £4,999 per person INSURANCE TOP UP for holidays costing more than £5,000 per person VISA CHARGE (cost of VISA) (payable at the time of booking) **COX & KINGS VISA HANDLING FEE (payable at time of booking) TOTAL REMITTANCE ENCLOSED Cheque or credit/debit card Please make cheques payable to 'Cox & Kings Travel Ltd'. Card No. Please debit balance (when due) Yes No Issue Date Cardholder's Name: Amount £ £ £ £ £25 No. £ £ £ £ £ £ Total I wish to pay by: (tick box) Mastercard Visa Amex Delta Switch* Cheque *Switch Issue No.
The following processing fees will be applied to final balances paid by credit card: Visa - 1.33% MasterCard 1.33% Amex - 2.10%. We reserve the right to change the processing fee at any time.
Your Cox & Kings Tour Consultant: Your Booking Reference Number:
Travel Agent's Stamp
Expiry Date
Travel Agent's Ref:
ABTA Number:
I hereby accept that I, on behalf of both myself and all the other persons on this booking form have read, understood and accepted the booking conditions, general information, insurance conditions (where applicable) and all other information in this brochure, and, further, that I have the authority of all the persons named on this booking form to make the booking subject to these conditions. All members of the party personally accept responsibility to be aware of, and comply with, health, passport and visa requirements. I am over 18 years of age. Date: Signature:
Total enclosed: £
Cox & Kings Travel Ltd., Gordon House, 10 Greencoat Place, London SW1P 1PH. Telephone: 020 7873 5000. Facsimile: 020 7630 6038 Registered office: As previous Registered No.143904 England
|
Save it »
inbro