Booking Form


Frequent Flyer Number
Destination*
Departure Date*
(dd/mm/yy)

Contact Details:

PO Box*
City / Zip*
Country*
Email*
Phone*
Mobile*

Travel Insurance:

Supplied by Al Tayer Holidays Yes No

Additional Information

Passenger Names (As per passport)

TitleFirst Name* Family Name* Date of Birth*
(dd/mm/yy)		 Nationality*Passport Number*

Payment Details

Cash Cheque Credit Card Total Tour Cost

Credit Card Details

Visa Master Card Diners Club AmEx Total Amount
Card Number
Valid from (dd/mm/yy) Expiry date (dd/mm/yy)
  • 2% on MasterCard & Visa
  • 3% on American Express
  • 4% on Diners Club
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