110
SURNAME
(as shown on Passport)
FIRST
TITLE
AGE
MAILING ADDRESS or TRAVEL AGENT’S STAMP
(CHILDREN under 12 years; INFANTS under 2 years of age)
NAME
Mr/Mrs
to which all correspondence and documents will be sent
SPECIAL REQUESTS
(not guaranteed):
EMERGENCY CONTACT FOR NEXT OF KIN:
Name:
Telephone (day):
(evening):
Please return completed form to:
Somak Holidays
202 W40th St, Suite 801, New York, NY 10018, USA
RESERVATIONS: 1-877 40 SOMAK
1-877 407 6625
Email:
The above address is for Navigator Aviation and Tourism and Management Inc who act as
the representatives of Somak Travel Limited, a company registered in the United Kingdom
in 1968 – Registration no. 958261.
Number of nights
Hotel/tour
Meal plan/
room grade
Optional excursion(s)
Lead Booking Name
Holiday cost per person
Departure Date
Departure Airport
H O L I D A Y S
Agent’s
Ref.
INSURANCE:
All customers must have travel insurance. You are free to select your own
policy.
However you purchase your insurance you must check that your insurance policy is
adequate for your needs, valid for the destination(s) you plan to visit, and, in
particular, covers any activities you are contemplating during your holiday.
Please complete the details opposite, to enable us to liaise with your insurers in case
of emergency.
Insurance company:
Policy number:
Contact name:
Telephone number:
SOMAK’S
AGENT’S
REFERENCE
REFERENCE
ACCEPTANCE:
I have received, read and understood the conditions of
Booking and Insurance and Holiday Guide as shown in
this brochure and accept them on behalf of all persons
listed. I also accept that all persons listed are themselves
responsible for seeing that Immigration and Health
Requirements are fulfilled.
All passengers are required to obtain their own Visa(s) and
must be in possession of a valid passport.
Signature of person traveling. 18 years plus (not Travel Agent)
Date
If you would like to receive special offers via email, please provide your email address
Further copies of this booking form are available on our website
Somak Holidays is a division of Somak Travel Limited, Registered Office Somak House, Harrovian Village, Bessborough Road, Harrow on the Hill, Middlesex, HA1 3EX. Registration No 958261.
91232120
REMITTANCE:
Please reserve the holiday as detailed above, for all passengers listed,
on behalf of whom, I enclose a payment for the following deposit/full price:
Deposit: $300/$ * per person X
passenger(s) –
$
$
Full price of holiday for all passenger(s) in the party – Total amount enclosed $
We accept payment as follows:
1 By cheque (made payable to Somak Travel Ltd.)
2 By credit/debit card – payments can only be taken online at
.
3 By bank transfer: Account name: Somak Travel Ltd. Bank Name: HSBC Bank USA N.A.
Fifth Avenue, Office, 452 Fifth Avenue, New York, NY 10018
Routing No. & ABA No.: 021001088 Swift Code: MRMDUS33
Account number: 048-98438-8 Type: US Dollar
All bank and credit charges to be borne by remitter and should quote our booking reference or fax us SWIFT message of the payment which can be
obtained from their Bank.
*If agreed deposit is more than $300, please write amount here.
Somak Holidays is a division of Somak Travel Limited,
Registered Office Somak House, Harrovian Village, Bessborough Road, Harrow on the Hill, Middleesex, HA1 3EX. Registration No 958261.
