Reservation Details Form

Agency: Freda Travel Company

Killegar Farm,
Killegar,
Enniskerry,
Co. Wicklow

Travel Advisor: Web Enquiry

Email: [email protected]

Tel: 1111111

Date From: Mon 21 Jun 2021

Date To: Wed 23 Jun 2021

Arrival City: Europe

Total Price: € 950

Client Name: Ryan Baird

Itinerary Reference: A44413

INSTRUCTIONS :

**INSTRUCTIONS : Thank you for confirming your trip with us. Every participant must submit a completed and digitally signed Booking Form to finalize the booking. We need this information as soon as possible in order to reconfirm your reservations. A parent or guardian must digitally sign the form for any travelers under 18 years of age. ("Digitally signing" simply means that you type in your name with the same effect as signing it.) You should have your passport information available when you sit down to fill out the form. All sections are required. Please note that after hitting the submit button the form may take a minute or two to be processed. Please hit the submit button only once. You will see a confirmation page once the form has been processed. You will have the option to email yourself a copy of the completed form. If you have any questions about anything, please don't hesitate to ask.

Step 1: Traveler Information (Required)

Traveler 1

First Name:*(Required)

Last Name:*(Required)

Email:

Telephone:

Address Line 1:

Address Line 2:

Address Line 3:

City:

State:

Zip Code:

Traveler 2

First Name:*(Required)

Last Name:*(Required)

Email:

Telephone:

Address Line 1:

Address Line 2:

Address Line 3:

City:

State:

Zip Code:

Step 2: Passport Information for express hotel check-in (Optional)

Traveler 1

First Name:

Last Name:

Date of Birth:

Passport Number:

Nationality: (Country of issue for passport)

Passport Issue Date:

Passport Issue Location:

Passport Expiration Date:

Traveler 2

First Name:

Last Name:

Date of Birth:

Passport Number:

Nationality: (Country of issue for passport)

Passport Issue Date:

Passport Issue Location:

Passport Expiration Date:

Step 3: Flight Information (Optional)

If you have already booked a flight, please provide us with the details of your arrival into Europe.

If this is a connecting flight, we only need the details for the flight into Europe.

Arrival Airport:

Flight Number:

Airline:

Arrival Date:

Arrival Time:

If you have already booked a flight, please provide us with the details of your departure flight from Europe.

If this is a connecting flight, we only need the details for the flight leaving Europe.

Departure Airport:

Flight Number:

Airline:

Departure Date:

Departure Time:

Step 4: Diet and Medical information (Optional)

Traveler 1

Do you have any dietary restrictions or requirements? (If so, please list)

Do you have any current medical conditions, infirmities or disabilities that we should be aware of? (If so, please list)

Traveler 2

Do you have any dietary restrictions or requirements? (If so, please list)

Do you have any current medical conditions, infirmities or disabilities that we should be aware of? (If so, please list)

Step 6: Terms and Conditions / Pay (Required)

Please click to review the Terms & Conditions and Release of Liability

By Checking this response I acknowledge I have read, understand and accept the terms & conditions and release of liability that accompany this reservation details form.

I do not agree

I agree

Once you accept the terms and conditions, you can make the payment.