Holiday Ref Personal details (as they appear in your passport)
Surname Title (Mr. Mrs. etc.)
Personal address Address
First name(s) Date of birth
BOOKING FORM Please print in block capitals.
Telephone no. (including local code) Postcode
Passport details Nationality
Passport no. Date of issue (dd/mm/yy) Date of expiry (dd/mm/yy)
Emergency Contact (e.g. next of kin) Name
Relationship Telephone no.
Additional information (e.g. special diet, medical conditions, special occasion)
Mobile no. E-Mail
Insurance In accordance with our booking terms all persons travelling must have adequate travel insurance please insure we have the following details before travelling.
Insurance Provider Policy Number Insurance 24 Hour Contact Number
Payment Please make cheques payable to One Traveller Limited and send in with this form. £150 deposit is required when booking your holiday. If paying with credit* or debit card please telephone us on 0844 800 5053 to process your booking over the telephone.
I have read, understand and agree to the conditions related to my booking, insurance and health (see page 6) and agree to pay the balance no later than 8 weeks before the departure date.
*2% surcharge on balance if paying by credit card. Date
Signed
Please send completed booking form to One Traveller Limited, Traveller House, 9 Fir Park, Ashill, Thetford IP25 7DE T 0844 800 5053
How did you hear about One Traveller?
ATOL Protection We hold a Civil Aviation Authority Licence which means that when you book on any one of the holidays shown in our brochure or website your money is 100% protected - please see our terms and conditions.
Y3177
41
9718
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