Reservation Request Fax Form

Please fill the form and print it. Once after printing please fax this form to us.

From:

To:

ALANITA TRAVEL

Fax No:

(617) 701-1750

Names of Passengers:

Last Name / First Name

Last Name / First Name

1.	2.
3.	4.
5.	6.
7.	8.

Airline Details
1st Choice Airline:		2nd Choice Airline
Departure City:		Destination City:
Price quoted from the Website:
Departure Date	DD MM YY	Return Date	DD MM YY
Home Phone No:		Work Phone No:
Fax No:		Email Address: