BOOKING FORM

ITALIAN ITINERARIES Booking Fax form
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Please complete this form and fax it to Italian Itineraries on (+61 8) or (08) 9367 9833.
No booking is considered valid without receipt of this form and deposit.

Name:

______________________________________________

Family Name:

______________________________________________

Age:

______________________________________________

Telephone:

______________________________________________

Fax:

______________________________________________

Email:

______________________________________________

Address:

______________________________________________

City:

______________________________________________

State:

______________________________________________

Postal Code

______________________________________________

Contact person / Telephone number we can contact, if necessary, while you are away on this trip

______________________________________________

Other Members of the party:
(Please continue on back of form if necessary)

Name	Age	Name	Age

PROPERTY TO BE BOOKED
Please list one or more requirements with changeover dates:

NAME OF PROPERTY	_________________________________________
COMMENCING	_________________________________________
ENDING	_________________________________________
NAME OF PROPERTY	_________________________________________
COMMENCING	_________________________________________
ENDING	_________________________________________

PAYMENT DETAILS DEPOSIT (50% of total rental cost)	$	__________
BOOKING FEE	$	A$80 or US$50
TOTAL DUE UPON BOOKING	$	__________
BALANCE	$	__________
Payable on ____________________		(6 weeks before start of rental)
OR, if booked less than 9 weeks before start of rental TOTAL PAYMENT	$	__________

Please note that once a provisional booking is made, it must be confirmed within 5 working days by receipt of this form in our office with 50% deposit and booking fee.

I declare that I am over 18 years of age and that this booking is made in accordance with the Booking Conditions. I agree to be held responsible for the balance of rental terms due and payable in accordance with the Booking Conditions.

Signature
of Client

______________________________________

Date

__________

Italian Itineraries Pty Ltd. P.O.Box 6331, East Perth, WA 6892
PH: (+61 8) or (08) 9367 9533 Toll free from USA to Australia: 1 877 588 4488

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