Suite 2
56 Sloane Square
London
SW1W 8AX
 
     Booking Form
 


Title/Full Name
Address for Correspondence
Postcode  Email  
Home Tel  
Work Tel
Tailor-made ref Fax No
Tour (Departure Date) Tel contact
while abroad

Title
First Name
Surname
Nationality
Date of Birth
Passport Number
Date & Place of Issue

Travel Requirements


Twin Room Double Room Single Room Other

Insurance: Please provide details of your insurance

Vegetarian/other Smoking/Non-smoking
Itinerary requirements if tailor made:
How did you hear of us?
Which (if any) Latin American countries have you visited?
I enclose deposit of £100 per person £
I enclose full payment £
Total monies enclosed £
    Cheque payable to : CHILE TOURS LTD TRUST ACCOUNT
    *full payment required 6 weeks prior to departure or on booking if within 6 weeks of departure.   

   
    I authorize CHILE TOURS to debit the amount of £                 from card below


VISA / MASTERCARD No
Expiry Date:
Name Card Holder:

I have read and accept on behalf of all the persons listed above the general information and
booking conditions as outlined on page 14 and 15.


Signed:
Date:

A charge of 2% will be made on full or final balance made by credit cards (VISA/MASTERCARD)

     


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