Holiday
Name of Accomodation:
Room Type
Arrival Date:
Number of Nights:
Board:
Number of Adults:
Number of Children:
Calculate Price
Total Price:
Personal Details
Title:
Surname
(as per passport):
First Name:
(as per passport)
Date of Birth:
Email:
Street Address:
Town/City:
State/County:
Zip/Postal Code:
Country:
Day Telephone:
Evening Telephone:
Special Dietary Requirements:
Special Request:
(leave blank if none)
Travel Insurance Arrangements
Do you require Italy First Choice Insurance:
If No, Please State Your Insurers Details:  
Policy Number:
Insurer's Telephone Number
Payment Details
I authorise Italy First Choice to deduct the above amount from my credit / debit card.
Credit Cards (Visa / Master) subject to 2% bank charges. Amex is subject to 3% bank charges. Debit Cards (Electron/ Visa Debits/ Delta /Solo/ Maestro) subject to £5 Charge
Note: A minimum card charge of £5 applies for all cards payment from £1 - £250
Card Number:
Card Expiry Date:
Card Issue Date:
Card Security no:
Card Type:
Issue Number (if switch):
Card Holders Information if not as Above
Card Holders Name:
Street Address:
Town/City:
State/County:
Zip/Postal Code:
Country:
Comments:
A confirmation invoice will be sent as soon as possible. Tickets and Itineraries are dispatched 10 - 12 days prior to departure. Once informed and invoiced, any changes will incur an administration fee.
Minimum cancellation charge: Loss of deposit.
I have read the terms and conditions and agree that its contents shall form the basis of my contract and I accept the full responsibility for the total cost of this booking.		 YES NO