Reservation Form En

‫בס"ד‬ 79' Kehaneman St. Bnei Beraq 51544 ISRAEL Tel: +972-3-579-1710 Fax:+972-3-579-1720 [email protected]

TOUR OLAM www.tour-olam.com Date

Reservation form

Name

Mr.

Docket no. Mrs.

Address

City

State/Zip

Phone: Home

Fax:

Business:

Cell phone:

Austria - Serfaus

Email :

Room

Hotel Alte Schmiede

Single

Double

Triple

Hotel Alte Schmiede Dorfbahnstrasse 64 Serfaus Tirol 6534 Austria Tel: +43-547664920 Fax: +43-547664927

Arrival date:

Departure date:

Name

Days Date of birth

Price

1 2 3 4 5 6 Total Discount for families Balance to pay Special needs or comments: Deposit

€ 700

per person (pay in NS)

CREDIT CARD

no refund after two weeks before arrival. (additional 2% for credit card payment)

Please charge my credit card

No.

(No American Exspres)

Valid …...…/…….….

Amount

Confirmed by

Signature Please return this form to: Fax: +972-3-5791720