| 1 | Please fill out this form on-line | 2 | Print out your form and sign | 3 | Photocopy the inside back page of your British passport | 4 | Post form and photocopy to us |
Please fill in the following information:
| Family Name: | |
| First Name(s): | |
| Address: | |
| Post Code: | |
| Country of Birth: | |
| Date of Birth: | |
| Nationality: | |
| Country of Residence | |
| Passport Number: | |
| Passport Expiry: | |
| Date of Arrival: | |
| Departure Airport (in UK): | |
| Hotel name in Cuba: | |
| Length of stay: | |
| Your tel. number: |
COST: £25 per person.
Please make cheques payable to "South American Experience Ltd" or complete details below:
| Name | |
| Address | |
| Mastercard: | Visa: | Switch: | Connect: | Delta: | Amex: |
| Valid From: | Expiry Date: | Issue No. (Switch) | *Security Code: |
*Security code = last three digits on reverse of card
| Please debit my card: | |
| Cardholder's Signature |
Tourist cards are usually despatched within 48 hours of receipt.
South American Experience:
Welby House
96 Wilton Road
Victoria
London SW1V 1DW
Telephone: 0845 277 3366
Fax: 020 7821 4001
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Thank
you for booking with us,
and remember that your trip and your privacy
are safe with us. We are members of ATOL.