SOLYMOS TRAVEL MAILORDER FORM

 

 

                                       Please the following questions related your Credid­-card

 

Name and Surname : _ _ _ _ _ _ _  _ _ _ _    _ _ _ _ _ _ _

Credit Card_ _ _ _ _ _ _ __ _ _ _ _Visa(  )Master(  )

Credit Card Number : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  _ _ _

Credit Card Expiration: _  _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _

Please Write down the last three number İndicated on reverse of your Credit Card

 

ADDRESS : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

E_Mail: _ __ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _

Telephone/Mobile Phone Number : _ _ _ _ _ __  _ _ _ _   _ _ _ _ _ _ _ _

City  : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Selected Room : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Selected Excursion : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Number of people

          0-6 Age Free

Single Room (  )Double Room (  )Triplex (  ) Number of Room(  )

Check in : _ _ _ _ _ _ __ _ _ _ __

Check out : _ _ _ _ _ _ _ _ _ _ _ _ _ _

Required other Activities

Name and Number of  Packet tour

Name and Number of  Packet_hotel

Name of Agency and Number

 

THİS PART WILL BE COMPLETED BY THE AGENCY

Nature of Services  :

Type of Payment     :

Total of Deposito  :

Total Amount       :

Total Payment made  

 by written           :

Stamp of the Agency

 

 

I declare hereby that the above given details are correct and accepted the

total amount related services reaquired from your agency and to be debited to

my credit-card,