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
Your Details

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:

 

Your Total Payment:

COST: £25 per person.

Please make cheques payable to "South American Experience Ltd" or complete details below:

 

Your Payment Details
Name
Address
 
 
Method of Payment
Mastercard: Visa: Switch: Connect: Delta: Amex:
Valid From: Expiry Date: Issue No. (Switch) *Security Code:

*Security code = last three digits on reverse of card

 

Card Number:


Cardholder Authorisation:
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

 

 

_______________________________________________________
ATOL 3071 - protects your trip!Thank you for booking with us,
and remember that your trip and your privacy
are safe with us. We are members of ATOL.