Check Payment Form

***Fill out this form only if you have been instructed to by Alanita Travel***
***This is not a Fax form***
Please print out and send this form alongwith your check before your reservation expires
Send your check to
Alanita Travel, 87 Common Street, Watertown, MA 02472***

PLEASE CHECK YOUR ITINERARY FOR NAME SPELLINGS. WE DO NOT USE THIS PAGE FOR SPELLING CORRECTIONS.

Alanita Travel is not responsible for Visa Requirements of any kind

I request Alanita Travel to issue the tickets below. I am aware that the cancellation fees are from $375 to non-refundable and date changes are from $275 and up

Alanita Travel is not responsible for seat assignment, Frequent Flyer numbers or meal preference

Names of Passengers:

 

Last Name / First Name

 

Last Name / First Name

 

1.

2.

3.

4.

5.

6.

If passengers are not flying on same dates as each other, please fill out separate forms for each passenger.

Airline

Departure City

Destination City

Departure Date

DD  MM   YY

Return Date

DD   MM   YY

Customer Phone (Work)

(Home)

 

Price per adult passenger: $

Price per child passenger: $

Price per infant passenger: $

Courier Shipping: $

Total Amount of Check: $

Signature here: X_____________________                        Date:____________________