Booking Form

HOW TO BOOK | BOOKING CONDITIONS | GENERAL INFORMATION | AITO QUALITY CHARTER

HOTEL INFORMATION | SELF-CATERING INFORMATION

FLIGHTS | CAR HIRE | TRAVEL INSURANCE | FINANCIAL PROTECTION

Please print and complete this BOOKING FORM in BLOCK CAPITALS as soon as you have made the telephone/email booking (Do ring if you have any queries.) Please return the form, even if you have already paid us over the phone, together with your deposit, or total cost (if applicable) to:

Long Travel, The Stables, Dudgeley House, All Stretton, Shropshire SY6 6LB.

*Delete/tick where necessary. Please sign the bottom of the form. Cheques should be made payable to Long Travel Limited.

If you have already given us your credit or debit card details, we will still need this form.

Full lead name: (as on passport).....................................................................................................................

Age: (at time of travelling, if over 65 or under 25)................................

Address: (for all correspondence)

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Postcode:................................................................................................

Tel: (day)................................................................ Tel: (home)................................................................

Tel: (mobile)............................................................ e-mail:................................................................

Names of all other members of the party (as on passports) - any change or addition must be notified before departure and will automatically incur amendment charges

Title: Full names: Surname: Date of Birth: (if under 18 years) Age: ( if over 65 or under 25)

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I enclose a cheque/ please debit my credit/debit card with the sum below (including 1.8% surcharge for payment by credit card).(Note: Cardholder must be one of the party travelling).

1. ACCOMMODATION deposit*/total rental* ................................. £ :

2. FLIGHTS full cost* ................................................ £ :

3. CAR HIRE deposit (inc SCDW in full)* /full cost* .............. £ :

4. INSURANCE premium in full single trip*/annual*............... £ :

5. AIRPORT HOTEL/PARKING full cost* ................................................ £ :

TOTAL AMOUNT ...................................................................................... £ :

1.8%SURCHARGE FOR ALL PAYMENTS MADE BY CREDIT CARD* .............................. £ :

* 2.5% surcharge for payments made by American Express

(no charge for debit cards or cheques)

TOTAL AMOUNT ENCLOSED / TO BE DEBITED ..................................................... £ :

How did you hear of Long Travel? Sat Times - Guardian - Sat Telegraph - Sunday Times - Observer -Internet search - AITO - Travelled with us before - Recommended - Other...............................................................

Name & address of anyone you think might like a brochure:.......................................................................................................................................

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I agree to pay the balance of rental/flights/car hire at least two calendar months before departure and abide by the conditions stated in the General Information and Booking Conditions. I confirm that the party is made up, only of the persons named on this form and I sign it on behalf of all those persons. I am authorised to do so and I am over 18 years of age. Should I forget/overlook to pay for any extras, whilst abroad, I authorise you to take payment, as detailed in “How to book”.

Signature: Date:

Please complete Hotel and/or Self-Catering sections as appropriate.

HOTELS ONLY Resort:............................................................ Date from: .......................... Date to: ..........................

Hotel name:......................................................................... No. of nights: ............

Special requirements (see "How to book"): Cot....... Other:..............................................................................

ETA (if flights not booked with us).....................