Tel 01246 220300
Fax 01246 209383
 
B O O K I N G   F O R M
 
  Tour Name or Description
Depart Date
Duration
 
     
 
  Enter Bilbao MiniCruise or Amsterdam Cruise&Stay Day Month Year No. of Nights
 
  Details of the Lead Name. A resposible person who is at least 18 years of age.
  Full Name   Email Address   Phone No
     
  Address   District   Town/City   PostCode
       
 
  Details of the whole party. 1st one being the Lead Name.
Tiltle
Initial
Surname
Address
Room
Insure
PickUp Point
      As above   As above      
Mr
Mrs
Miss
Ms
D
D. A.
 
No, Street, District, Town, PostCode
T Twin
D Doub.
S Single
Tick if req'd
Ches.
Sheff.
Roth.
Barn.
Tiltle
Initial
Surname
Address
Room
Insure
PickUp Point
             
             
             
             
             
             
             
             
             
             
             
 
  Special Requests (Can't be guaranteed)
 
 
Avista Holidays Limited, 35 Rose Hill, Chesterfield, S40 1TT.