Name *   
   
Function
   
Company
   
Address *
   
Telephone *
   
Fax
   
E-mail *
   
   
You need *    
Information A reservation A fare quotation
A reservation change A reservation cancellation Us to contact you
Others -specify:
 
 
The product(s) you need:
Flight(s) Hotel(s) Car rental(s) Train(s) Boat(s)
Others -specify:
 
Passenger names:
1.
2.
3.
4.
5.
6.
 
Travel Plan:
Type Travel date From To Departure
time
1.
2.
3.
4.
5.
6.
7.
8.
 
Economy class Aisle seat Smoking
Business class Window seat Non smoking
 
Car rental:
  Type Pick-up at Date Time Drop-of at Date Time
1.
2.
3.
4.
5.
6.
               
 
A.:
Peugeot 106, Opel Corsa, Ford Fiesta
 
B.:
 Renault Clio, VW Polo, Ford Focus
 
C.:
 Renault Megane, Opel Astra, Ford Mondeo
 
D.:
 Peugeot 406, Renault Laguna, Volvo V40
 
E.:
 Peugeot 605, Mercedes C180
 
Hotel:
  Hotel name Country City Arrival date Departure date
1.
2.
3.
4.
5.
6.
      Number of rooms   Number of rooms
Single rooms
Smoking
Non smoking
Double room
Smoking
Non smoking
Breakfast needed: Yes No    
 
Additional remarks:
   
   
 * obligatory fileds
   

Your specifications are strictly confidential and serves exclusively the internal use.
They are not passed on to third.