(To be completed by the client)
Schwarzwaldstraße 17
77781 Biberach/Germany
Telefon +49 (0)7835/547266
Fax +49 (0) 07835/547268
e-mail:
info@travelive.de
Internet: www.travelive.de
I have read and accepted the conditions of booking (Reisebedingungen) in the brochure and agree to be bound thereby.
Travel insurance is strongly recommended
. I confirm that I am authorised to sign this contract and accept its conditions for all the persons listed on this form. I / we are aware that valid passports are required, visa and health documents may also be required and the obtaining of these documents is my/our responsibility. It is the travellers responsibility to maintain contact with their booking agent to check whether any variations to itinerary, price or other aspects have occurred.
Name:
Post Code:
Adress:
Tel. (Home):
Tel. (Work):
E-mail:
Fax:
Date:
Details of passengers travelling:
Person 1
Person 2
Person 3
Person 4
Mr/Mrs/Ms/Miss
Surname
First Name(s)
Date of birth
Nationality
Note: a valid passport is required for most tours.
(If in doubt please check with our office. If
you require a passport and are not in possession of one, please advise details when obtained.)
Please reserve the above passenger(s) on the following tour(s):
Tour / No.
Dates:
Room preference:
double
single
suite on request wherever available
smoking
non smoking
don‘t mind
Are the above passengers in good health?
Yes
No*
Do any of the above passengers
require a special doctor/special diet?
Yes
No*
* if yes, please attach details of doctor‘s certificate stating fitness to travel
Payment
(after receipt of confirmed booking)
By cheque: Please make cheques or bank drafts payable to Nicole Gottschalk. By remittance to the account with code.
Bank:
Sparkasse Gengenbach, 77723 Gengenbach
Account-Nr.:
28028
Code:
664 513 46
Download
(to send the
booking form
by fax)