Booking Form for Holland 23-27 April 2009

Member ____________________ 

First Guest __________________  

Email ________________________________ Telephone __________________________

Travel Insurance Details

• Company                               _________________

• Policy Number                      _________________ 

• Emergency Phone Number _________________

Passport details

• Date of Birth           Member_______________      Guest _______________

• Age                         Member_______________       Guest_______________

• Nationality              Member_______________       Guest_______________

• Place of Birth         Member_______________       Guest_______________

• Passport number   Member_______________       Guest_______________

• Issuing office          Member_______________       Guest_______________

• Issue date               Member_______________       Guest_______________

• Expiry date             Member_______________       Guest_______________ 

Cost of Package for Members and First Guest, approximately £335 per person - final cost will be known nearer the time.

Please send your completed booking form and deposit cheque for £30 per person, made payable to 'IBM Retirees Club Midlands' to:-

Simon Barratt, Laurel House, The Green, Tredington, Shipston on Stour, Warwickshire CV36 4NJ

Telephone: 01608 661996 Email: sjbarratt@btinternet.com

** Your booking will be acknowledged by email or by surface mail (please include an SAE).

Refer to General Notes about Events for booking conditions and other information.

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