: Obligatory field

VIAJES BALEARES S.A.
- CYCLISM CAMP & HOLIDAY -

   
  Arrival date

  Departure date 

 
   

SURNAMES AND NAMES OF EACH PERSON
AND OPTION CHOSEN (**)

PLEASE, FILL ONE BOOKING FORM PER ROOM

 Person 1
  
       
Civility
 		Name
Surname
N° CNI Passport
  Date of birth
 		Formule
 		Bike
       
 Billing Address
   
Addr.
 
City
Zip Code
 
   
Country
 
     
Email
 
       
Phone
   
gsm
   
Fax
   
       

 Person 2
  
       
Civility
 		Name
Surname
N° CNI Passport
  Date of birth
 		Formule
 		Bike
       
 Address
    
Addr.
 
City
Zip Code
 
       
Email
 
       
Phone
   
gsm
   
Fax
   
       

 Person 3
  
       
Civility
 		Name
Surname
N° CNI Passport
  Date of birth
 		Formule
 		Bike
       
 Address
    
Addr.
 
City
Zip Code
 
       
Email
 
       
Phone
   
gsm
   
Fax
   
       

 Person 4
  
       
Civility
 		Name
Surname
N° CNI Passport
  Date of birth
 		Formule
 		Bike
       
 Address
    
Addr.
 
City
Zip Code
 
       
Email
 
       
Phone
   
gsm
   
Fax
   
       

 Person 5
  
       
Civility
 		Name
Surname
N° CNI Passport
  Date of birth
 		Formule
 		Bike
       
 Address
    
Addr.
 
City
Zip Code
 
       
Email
 
       
Phone
   
gsm
   
Fax
   
       

HOTEL

Choose your Hotel

Type of room  

Airport Transfers / RENTAL CAR

   

Would you transfer airport?

 

Do you need a rental car at the airport?

  
   



AIRPLANE

   

Would you like us to book your plane tickets ?

  
City of departure  
Do you need cancelation insurance for your plane tickets ?  
   



If we book your plane tickets and you wish to bring
your own bike, please forward the following informations :

   

Size of the bike case

  
Total weight of the bike case  
   



If you book your own flights, it is NECESSARY to send us
the following informations :

   
Arrival time in Palma  
Last flight N° to palma  
Last city of departure  
Departure time from Palma  
Flight N° from Palma  
City of destination  
   


BOAT

   
Would you like us to book you the Ferry ?  
Make and model of the car  
Registration N°  
   


If you book your Ferry boat, it is NECESSARY
to send us the following informations :

   
Arrival time in Palma  
Departure time from Palma  
   

PAYMENT

Visa or Mastercard, for security reasons please pass
your credit card details ( 16 digit number, expiry date
and last three numbers on the back of the card)
by email to vbaleares@vbaleares.net
or by telephone 34.971 13 50 54

A deposit of 200 euros per person is required
to finalize and secure your booking.

COMMENTARY

: Obligatory field
(**) : Multiple choices necessary for your inscription

 











     
 

 

  
 

 

   
   
   
   
       
   
   
     
 
 
       
       
 
Tous droits réservés © Stephen Roche - Mentions Légales