Full Name Age
Tel.(day) Tel.(eve)
Email Postcode
Address
2nd Person
Full Name Age
3rd Person
Full Name Age
4th Person
Full Name Age
Please Note: Limited availability for more than 4 people.
5th Person
Full Name Age
6th Person
Full Name Age
Destinations (mark box 1,2,3 to show choice)
Tenerife Costa del Sol
Lanzarote Mallorca
Gran Canaria Costa Blanca
Fuerteventura Malta
Portugal Other destinations
Dates
1st Choice
2nd
3rd
Every effort will be made to match your requested travel date as closely as possible.
1. Married Single Living Together
  If living together how many years?
2. Number of dependent children Ages
3. Do you own your own home?
 
Yes
No
4. When on holiday which of the following do you use?
  Cash
  Credit Cards
  Travellers Cheques
5. How many weeks holiday do you take a year?
6. Do you
  Take a package holiday?
  Own a holiday home?
  Own timeshare weeks?
  Make your own travel arrangements?
  Are you a member of a holiday club?
7. What recreational features do you look for when on holiday?
 
Tennis Dining Nightlife
Golf Beach Sailing
Diving Squash Swimming
Horse Riding Sightseeing Windsurfing
Fishing Sking Boating
Exploring    
8. Have you ever considered buying a holiday home abroad?
 
Yes
No
  I declare these details are correct.
Occupation
Partner's Occupation
Retired
(please enter your occupation prior to retirement)
Joint Monthly Income
Signature
Voucher Received From
Date of Issue (No.5)

Corporate Enquiries:
0870 224 7007

E-mail:
dreamstay@premieretravel.net