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BOOKING FORM 2010 – 2012 Please note that you study the Company'sTour Terms & Conditions and important information carefully before completing this form. All parts of the form must be completed before send us with passport copies (main pages only) for each passenger, if you want to make a booking for one of our tours. A deposit of 50% tour price per person is required to secure the booking. They are not considered firm until we have received the completed booking form and the required deposit on…………days in advance of your arrival. (One form may be used for two people living at the same address and traveling together) Tour Name: ................................................................ Code: ............................................ Departure Date: ........................................ Departure City: ................................................ Room Type:  Single  Twin  Double Triple........... Preferred Airlines: .......................

NAME LIST OF PERSON WHO TRAVEL ON THE SAME TOUR No.

Surname

First Names

DOB

Sex

Passport No.

Expiry Date

Special Request

1 2 3 4 5

* Names that appear on this booking form are used for ticketing purposes and must appear exactly as per passport. Do any of the above named suffers from any physical disabilities? Yes  No If yes, please attach doctor’s certificate stating fitness to travel. I am authorized to sign this booking form on behalf of the all named above. I/We the undersigned person(s) have and understand ofthe conditions of the information in this Booking Terms and Conditions above tour that we registered. Signature: ................................Name (Please print):..........................................Date: ................... Address: ............................................City: ......................State:...................... Postcode: ............. Tel: .......................................Mobile: ............................................Fax: ........................................


Email: ..............................................................................................................................................

PASSENGER CONTACT IN CASE OF EMERGENCY: Name: ............................................................................................................................................... Tel:...................................................................... Mobile:................................................................. PAYMENT OPTIONS (PLEASE CHOOSE ONE): By Money Direct Payment Code: ATM By Direct Deposit: ANZ Bank, SWIFT: ANZBVNVX472 Account No.: 3673224,Company Name: Asian Mate Travel co. Ltd Credit Card processing fees will apply (3% for Bank transfer) (If you pay by Direct Deposit, please send us the bank deposit slip after remittance)

Credit Card Authorization Form

MasterCardVisaAmex

I, .............................................................................................................., give the authorization to Asian Mate Travel co. Ltd. to charge amount of US$..................................... from my credit card, Card Number (account No.)  -  --  to payDeposit

Balance

Insurance

Others

Expiry Date:.................(M)/......................(Y) Card Holder’s Name (please print): ................................................................. .......

Signature: .........................................................

TRAVEL AGENT DETAILS: Company Name: ..............................................License No:................................................ Address: ............................................................................................................................................ Tel: ..........................................................................Fax: .............................................................. Consultant Name: ............................................................................................................................. Email:..................................................................Mobile: ............................................................



booking form