USA AND CANADA BOOKING FORM For reservations telephone 0870 606 3000 Please
complete fully and return with remittance to: Gold Medal Holidays, The
Trident Centre, Port Way, Ribble Docklands, Preston PR2 2QG. Or
alternatively fax to 01772 835276. Name and Address for Correspondence All
other Passenger Names and Details as shown in Passport Mr/Mrs Date of Birth
Insurance Mr/Mrs/Ms: _______ First Name: _________________ Surname:
_____________________ Ms/Miss First Name Surname If under 18yrs Delete as
required or over 65yrs Mstr. Address:
________________________________________________________________ Yes/No
________________________________________________________________________
Yes/No
________________________________________________________________________
Yes/No
________________________________________________________________________
Yes/No ____________________________________ Postcode:
___________________________ Yes/No Home Tel No*: ________________________
Daytime Tel No*: ____________________ Yes/No *IMPORTANT: IN THE EVENT OF
STRIKE OR SERIOUS DELAY Yes/No Accommodation No. Of Rooms Check-in No of
Tour Code City/Town/Resort Hotel Accommodation Room Type Meal Plan Date
Nights Single Twin Triple Flight Information Special Requests/Other
Requirements Flight No. Date From To Departure Arrival Flight Booking Ref.
if applicable Deposit and Holiday Insurance Payment Declaration Please
reserve the holidays shown for the person/s listed above. I enclose a
minimum deposit A deposit is payable at the time of booking minimum of
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