Cuba-Vacations-Online 

Tour Fax Booking Form
Fax # (345) 949-7161

Save this page, print it, or copy it and paste it into your fax or word processing program. Fill in all of the required information and fax it to the above fax number. We will respond by fax or email as soon as we can.

1) Your desired tour: -
2) Type of hotel room required:

Double:                  Single:

3) Check-in date: please use 12SEP99 format -
4) Check-out date: please use 12SEP99 format -

5) Flight arrival and departure Information:
     airline, flight number, time

 

 

6) Number of people in the room:
adults 18 years + :____

teens 12 -17 years

 :____ ages:________
children 0 - 11 years :____ ages:________
7) Number of rooms required:  
8) Name: -
9) Email address: -
10) Mailing address:  

-

11) Phone number:

area code              phone #

12) Fax number: area code              fax #
13) Name of Credit Card to be used
ie: Visa, Mastercard, American Express, etc.		 cr-
14) Credit Card number and expiry date:

#                                                          exp.

15) Name of cardholder as it appears on
the credit card - very important -		 -
16) Cardholders Signature
           - mandatory - 		-
17) From our resort information pages, what rate
are you expecting to pay for this booking?		 -
18) Comments or remarks: - recommended -
For example: List your tours, dates, etc. that are acceptable if your 1st choice is not available. Add any other comments that are important but are not covered above.		 -

I have read all of the terms and conditions listed on the on-line booking form. By faxing this booking request, I acknowledge and agree to all of the above mentioned booking terms and conditions.

Signature:________________________________

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