Citybreak Reservation Form
Transfer
Arrival Transfer : Flight No: Arrival Date : Arrival Time :
Departure Transfer : Flight No: Departure Date : Departure Time :
Accommodation
Hotel Name :
From :
To:
Room Type :  Single Double Triple
Meal Type :
Excursion
Tour Name(s)/Code
Requested Date(s) :
Rent A Car
Car Type :
From :
To :
Personal Information
 Name & Surname :
 Names Of The Group    Members :
 Additional Requests :
 Nationality :  
 Date Of Birth  
 Sex  
 Home Adress  
 Work Adress
 Home Phone :
 Home Fax : 		 
 

Herewith I Authorise Ekol Travel to withdraw sum of  form my Credit Card Number for the travel services in Turkey

 Work Phone :
 Work Fax :

  
 
 E-Mail :  
 Type Of Payment : By credit Card By Electronic transfer
 Credit Card No:
 Name Of Card Holder :
 Expire Date :  
 Signature :