Name: 

Postal Address:

E-mail: 

Phone:    Fax: 

Arrival Date & Time: 

Departure Date & Time: 

Choice of Hotel (tick one):

Miramar

Puerto Palace

Sol Elite Parque San Antonio

Room Class (tick one):

Single

Double

I wish to share with another participant
     Please state if you are: Female or Male 
     Please indicate who you would like to share with:
     

Board (tick one):

Bed and Breakfast

Half Board

Full Board

Other Relevant Information (special needs, etc ...):

I will make my own arrangements