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Booking Request Form
Terms & Conditions
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Current Special Offers
Villa
Gazelle
Booking Request Form 2011/2012
Please complete the following to make a booking request, in agreement with our terms & conditions.
Contact Information
* First name:
* Last name:
* Address Line 1:
Address Line 2:
* Town:
County:
* Post/Zip Code:
* Country:
* Contact Telephone:
Mobile Telephone:
* Your e-mail address:
* Re-enter e-mail address:
Dates Villa Gazelle required
DAY
MONTH
YEAR
* From:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1
2
3
4
5
6
7
8
9
10
11
12
2012
2013
* To:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1
2
3
4
5
6
7
8
9
10
11
12
2012
2013
* Total number of
people who will
be staying:
1
2
3
4
5
6
7
8
Total number of
infants (under
2 years) who
will be staying:
0
1
2
Full Name of person 1:
Person 1 Date of Birth:
Full Name of person 2:
Person 2 Date of Birth:
Full Name of person 3:
Person 3 Date of Birth:
Full Name of person 4:
Person 4 Date of Birth:
Full Name of person 5:
Person 5 Date of Birth:
Full Name of person 6:
Person 6 Date of Birth:
Full Name of person 7:
Person 7 Date of Birth:
Full Name of person 8:
Person 8 Date of Birth:
Full Name of infant 1:
Infant 1 Date of Birth:
Full Name of infant 2:
Infant 2 Date of Birth:
* Your prefered
method of payment:
Cheque
Electronic Bank Transfer
Credit Card
How many times
have you visited
Dubai before:
Never
1-2
3-5
5+
How did you
hear about
Villa Gazelle?
Returning Customer
Recommendation from a friend
Web Search Engine
Poster
Car sticker
Recommendation from a customer
Any other comments
(Enter any
special offer
codes you wish to take
advantage of):
Please confirm that
you have read
and agree to
our
Terms & Conditions
:
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