Impex International Travel
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IDA Accommodation

    IDA Accommodation booking form

Surname:………………………….. First Name:………………………… Title:…….

Surname:………………………….. First Name:………………………… Title:…….

Surname:………………………….. First Name:………………………… Title:…….

 

Address:……………………………………………………………………………….

………………………………………………………….Postcode:…………………..

Telephone: ……………………………  .… Mobile:….….…………............………

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

 

Hotel Location:............................      Hotel:............................        Rate:...................

Room required:  Double:.............Twin:.............. Triple:............... Single:..............

 

Date In:….…/…...../……....     Date Out:…..../…....../…....…. 

 

Form of Payment:

Credit Card: American Express,  Diners,  Visa,  Mastercard

Credit Card information will be given to hotel as guarantee of stay.   Should you cancel within 30 days of arrival,

the first night rate will be charged to your credit card.  If you cancel within 14 days of arrival or no show the total stay will be charged to your credit card.

 

Card No:_______________________________________________    Expiry: _____ / _____

Name on card:………………………….......................................…………………………………………

Signature of card holder:.............................................................................................................................

PLEASE  FAX  THE  ABOVE  BOOKING  FORM  TO  03 9650 3199

If paying by cheque, final balance must be paid 30 days prior to arrival. Cheques made payable to

Impex International Travel. Suite 4, Level 4, 182 Victoria Pde, East Melbourne, VIC 3002.

Should you have any queries please do not hesitate to contact Impex Travel on

03 9650 9066 or fax 03 9650 3199 or e-mail on impex@connexus.net.au

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