Booking Authorisation Form

PLEASE COMPLETE IN CAPITALS

Holiday Ref.No Tour Name Operator ATOL
Departure Date Return Date No.Nights Departure Airport No.in Party
Surname(as passport) Forename Title Age if under 18 or over 65 Smoker YES/NO Passport No.
      
      
      
      
      
Please indicate no.& type of rooms required Single Double Twin Twin Share Triple
Other requirements(subject to availability)e.g.special diet, connecting flights, low floor etc.
Travel Insurance. All passengers must have adequate insurance. If you are not taking our
insurance please advise the name and policy no. of your insurers providing comparable or
greater cover.
If you or any of your party do not hold a full British Passport, please advise what type of passport(s) held.

Name of Signatory:...........................................

Address............................................................
             ............................................................
             ............................................................
Post code:.........................................................
Telephone:(Day)..........................................
           (Evening)..........................................

Signed.........................................................
Date...............................................
I enclose
representing a deposite/full amount of             per person plus Insurance premium of            per person
(if required).
I confirm I have read and understood the Booking Conditions and accept them on behalf of myself and every member of my party. I am over 18 and authorise the tour operator to make the booking detailed above.

Print this form and post to Pick Travel Ltd. 11 Scraptoft Lane, Leicester, LE5 2FD
with your cheque made out to Pick Travel.