Booking form – ferry operator Acciona Trasmediterranea

Booking form – ferry operator Acciona Trasmediterranea

DERTOUR GmbH & Co.KG
Abteilung Ocean24
Emil-von-Behring-Str. 6
60439 Frankfurt
Tel.: +49 180-4 999 203
Fax +49 69/95 88-58 22
(€ 0,20 per call from German landline, mobile
phone prices depending on provider)
Mo-Fr: 09:00-18:00 Uhr
Sa: 09:00-13:00 Uhr
email: [email protected]
Booking form – ferry operator Acciona Trasmediterranea
Name____________________________________________________________________________________________
Street___________________________________________________________________________________________
Zip Code/Place_____________________________________________________________________________________
Credit Card __________________ Credit Card Number_________________ valid until__________________
email__________________________________________
telephone__________________________________________ mobile phone____________________________
outward connection
return connection
_________________________________________________________ _________________________________________________________
Date
Date
_________________________________________________________ _________________________________________________________
Time
Time
_________________________________________________________ _________________________________________________________
from
from
_________________________________________________________ _________________________________________________________
to
to
_________________________________________________________ _________________________________________________________
Accommodation / category
accommodation / category
vehicle (car, caravan, camper, trailer)
______________ _
type
______________ _
type
____________________
licence plate number
____________________
licence plate number
_________________
______________ __________________
lenght
height
_________________
lenght
width
______________ __________________
height
width
travellers
______________ ______________
_______________ _________________ ___________
Salutation, Title Firstname/Lastname
______________ ______________
_______________ _________________ ___________
Salutation, Title Firstname/Lastname
_______ ____________
Age
Country
_______ ____________
Age
Country