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THE VERY BEST OF PERU TOUR
BOOKING FORM

Peru Tour

Twin Share Yes[ ] NO[ ] Tour Date:

Single Supplement Yes[ ] NO[ ] Tour Date:

YOUR DETAILS	YOUR TRAVELLLING PARNERT DETAILS
FULL NAME (as it shown on your passport)

Title: 1 : 2 : 3 :	Surname: .............................First name:.............................Middle Names or Initials:
Sex: [M] [F]	Date of Birth:....../..... /	Sex: [M] [F] Date of Birth:....../..... /
Occupation:
Place of birth:
Address:	City: …………………………… State : …….. P/Code:..........…	City: …………………..... State :…............ P/Code:…........
	Country: ………….	Country: ………….
Main E-mail:
Telephone: Fax:	H(........) B(........) . (.........)	H(........) B(........) . (.........)
Nationality:
Passport No:	Place of issue:…… Date of issue: …./…../	Place of issue:……… Date of issue: …./…../
Medical conditions:		Medical conditions:
Frequent flyer number/Airline:		Frequent flyer number/Airline:
Other Request…………………………………………………………………………………………………………..
I / We enclose photocopy of passport(s) and non-refundable of $250 for confirmation of the above booking.The balance of $..................................... will be paid by…………………….2004

Signing this booking form means you have read and agreed to the booking conditions and
Acknowledge that cancellation fees apply.

Signed …………………………………… Date………………………………………

AUTHORISATION FOR CREDIT CARD CHARGE

TO: Date___________________

ATTENTION: ______________

FAX NO.:

Authorisation is hereby provided to SKYWAY TRAVEL to execute a charge against the following credit card for booking, plus the applicable service charge, to my ( please circle the relevant card).
Card Type:
VISA CARD -------------(service charge 2%)------------------------------------
MASTER CARD--------(service charge 2%)------------------------------------
AMEX-----------------------(service charge 3.5%)---------------------------------
DINNER -------------------(service charge 3.5%)---------------------------------

CARD NUMBER:--------------------------------------------------------------------------

EXPIRE DATE OF CARD:--------------------------------------------------------------

CARDHOLDER NAME:------------------------------------------------------------------

CARDHODER BILLING ADDRESS:------------------------------------------------

---------------------------------------------------------------------------------------------------

AMOUNT--------------------------------------------------------------------------------------

CARD HOLDER SIGNATURE----------------------------------------------------------


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