Booking Form by Mail/Fax with Tuscan Holidays

Tuscan Holidays
Hotel Booking Form by MAIL/FAX

Please fill in the details on this form then MAIL/FAX it to:
Tuscan Holidays
Fisherbeck Mill, Old Lake Road, Ambleside
Cumbria, LA22 0DH

Fax: 015394 32548 Tel: 015394 31120 24hrs

Payment details:
Please make cheques payable to 'Tuscan Holidays' and drawn on a UK bank.
If paying by Credit Card please fill in your details at the bottom of this form. Thank You.

Lead Passenger Details

Title__________Name_________________________________________________________________

Address____________________________________________________________________________

___________________________________________________________________________________

____________________________________________________________Postcode________________

E-Mail Address_________________________________

Telephone Number - Daytime______________________Evening_______________________________

Have you stayed with us before? (If yes, which hotel/property)_____________________________________

How did you find out about us?__________________________________________________________

Hotel Details

Hotel Name______________________________________ Room Type__________________________
Dates Required: From___________________________ to ___________________________
Special Requests: Cot_____________ High Chair_____________ Other_____________
Names of all other members of your party
Title	Initials	Surname	Age if under 18	Insurance Required
___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________

Costs
Deposit due: 1/3 of rental (if more than ten weeks before departure)	£__________
Total cost: (if less than ten weeks before departure)	£__________
Travel Insurance or Name of Insurers:_________________________________	£__________
Extras payable in advance (extra bed etc.)	£__________
TOTAL AMOUNT	£__________
I am paying by Cheque____________ Credit Card_____________

Your Signature

Please tick the following box: I and all persons stated on this booking form agree to abide by the Booking Conditions [ ]

Signed_______________________________ Date__________________________

Credit Card Details

Type of Card_______________________

We accept payment by all major credit cards
except American Express and Diners Club.

Card number_______________________

Start Date - Month__________ Year___________

Expiry Date - Month__________ Year___________

Security number______________

Issue no. (Switch only)_________

Name on the card____________________________

Address of card holder
(if different from above)_________________________

___________________________________________

___________________________________________ Postcode_______________

Back