THE TRAVEL COMPANY

For the Constant Traveller

BOOKING FORM Society of Australian Genealogists’ Tours Ireland - October 2006

Names as passport:

Surname:……………………............. First Name………………..........    Title…………            

Address:……………………………………………………………………………………..

 ………………………………………………………………………………………………

 Telephone:……………………………     Fax:…………………………………………….

 E-Mail………………………………………………………………………………………

 Passport No:…………………………..     Validity:……………………………………….

 Nationality as shown on  passport…………………………………………………………

 Date of Birth:……………………….     Smoker…………..    Non Smoker………………

  Accommodation: 
      □          Double/Twin                 Share with……………………………………………….  
      □          Single

 In case of emergency please contact:

 Name:………………………………… ……     Relationship………………………….

 Address:………………………………………………………………………………….

 Telephone Home:………………………Business:………………………………………

 Special meal requirements……………………………………………………………….

 DEPOSIT REQUIRED $400.00 PER PERSON: This deposit is required to secure accommodation, carriers and ground operators. The deposit is refundable up to 60 days prior to travel. Travel Insurance strongly recommended.                   

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□      Do you want the Travel Company to arrange airfares?