BIRD HOLIDAYS BOOKING FORM
Bird Holidays Ltd hold an ATOL licence number 5546, issued by the Civil Aviation Authority.
Please use BLOCK CAPITALS
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FIRST AND LAST NAMES – EXACTLY AS SHOWN ON PASSPORT |
FIRST NAME YOU WISH TO BE KNOWN BY |
DATE OF BIRTH |
TICK IF SINGLE SUPPLEMENT REQUIRED |
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NATION-ALITY |
PASSPORT NUMBER |
EXPIRY DATE |
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NAME: _____________________________________________________________ |
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ADDRESS: _____________________________________________________________ |
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_____________________________________________________________ |
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POSTCODE: _____________________________________________________________ |
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TELEPHONE (DAY):____________________________________________________________ |
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TELEPHONE (EVENING):______________________________________________________ |
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E-MAIL ADDRESS: ___________________________________________________________
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HOLIDAY DESTINATION |
DATE COMMENCING |
DATE RETURNING |
DEPARTURE AIRPORT |
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SPECIAL REQUIREMENTS (E.G. VEGETARIAN, DOMESTIC FLIGHTS)
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Please give details of your travel insurance on the line below (company name and policy number). For Holiday Extras insurance, please telephone 0871 3602742 and quote AD205.
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*I enclose a cheque for £.................. being the deposit for …........ persons. Payable to Bird Holidays Ltd.
*I wish to pay by debit/credit card the sum of £.................. being the deposit for …........ persons.
If you wish to pay by debit/credit card please give details overleaf (card number, expiry date, type of card, security number).
*Delete above as applicable.
Name, address and phone number of next of kin (not travelling) _____________________________________________________________________________
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Does any member of the party have a medical condition which we should be aware of (eg. diabetes, epilepsy etc.)? Yes / No
If 'yes' please give details overleaf.
I have read the conditions of booking and I accept them on behalf of all the above named persons.
Signature of first named person ______________________________________________________________________________ Date ___________________________
Please return completed booking form to: