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BOOKING FORM



BOOKING FORM
Please read Terms & Conditions before completing this form

Please complete this form, print it and return it with your deposit of AUD$ 400 to Italia Mia, a division of Travel Avenue, 101 Bridport St, Albert Park VIC 3206, Australia

A booking confirmation will be promptly sent to you for your records

Please Note:
the fields marked with a red asterisk need to be filled to process your request.
All other fields are optional.


Upon receipt of full payment for your Vita Italian Tour, a pre-departure pack will be sent to you containing your confirmed itinerary, accommodation details and information on your selected tour

Mr Mrs Ms Miss
First name* (as shown on passport)

Surname
* (as shown on passport)

Date of birth
* (as shown on passport)

Mailing Address
*

City
*
State
*
Postcode*
Country
*
Telephone home* (including area code)

Telephone business

Fax

Email



Requested Tour* Tour 1 Tour 2 Tour 3 Tour 4 Tour 5

Number of people travelling*

Requested accommodation* Double room Single room Twin room

If more than one adult, please list names of other persons travelling with you
*
NOTE: if different contact details, please fill out one form each




DECLARATION*
I have read and agree to accept the Terms & Conditions of Vita Italian Tours as set out in the Terms & Conditions page of this web site. I also agree to arrange adequate Travel Insurance.

Date
*

Signed
*



Copyright © 2004 Vita Italian Tours. All rights reserved / booking terms & conditions