Travel Club Of Upminster - Booking Form

Our contract details contain important statements about our holidays and data protection, which you should read before you book. Please check this url for details. http://www.travelclubofupminster.co.uk/general_information/16/Contract_Details.html
I have understood and consent to the terms set out in the data protection policy.

Please reserve for people

Insert number of weeks holiday:

Insert name of accommodation :

Insert brochure reference code :

UK departure airport :

Insert date of departure from UK:

Tick box if arranging own flight :

Please advise flight details :

Passenger 1 :

Title	:	Mr / Mrs / Miss / Ms / Master / Dr / Prof
First Name	:
Last Name	:
Date of birth if under 20 or over 65 at date of travel	:
Tick if you have own travel insurance	:
Private address including postcode (there is no need to repeat address if the same for all passengers)
Phone number: Daytime Evening E-mail address: Booking reference number if holiday booked by phone:

Hotel customers

Please indicate type of room required
Please insert number of rooms required:
Single Twin Three-bedded Four-bedded

Self-catering customers

Please indicate type of accommodation required
Please insert number of units in relevant box
Studio
1 bedroom apt 2 bedroom apt 3 bedroom apt
2 bedroom villa 3 bedroom villa 4 bedroom villa

Special Requests. We shall be pleased to pass on your requests but regret they cannot be guaranteed.

Self-drive car hire - please enter details as required:

Length of Hire:
Car group: One Two Three
From: To
Collect car from:
Return car to:

To secure your booking please send us a deposit of £150 per person plus the relevant insurance premiums per person.
Full payment is required if you are booking less than 8 weeks before departure. There is a charge of £10 for balances paid by credit card.

Visa Mastercard Switch Delta

Total £ Date
Card Number:
Deposit/insurance premium only:
Deposit/insurance premium and final balance:
Name on card:
Security Code (last 3 numbers on signature strip):
Expiry date:
Issue Number (Switch only):
Valid from date (Switch only):

Print the completed form and post or fax it to:

Travel Club of Upminster
10 The Wharf, Bridge Street, Birmingham, B1 2JS
Fax: +44-(0)8455 43 03 50
E-mail : holidays@travelclubofupminster.co.uk