Gozo holiday farmhouses

Booking Form
(don't forget to fill items with an * ,which are required)

Personal details - your details will NOT be given to third parties and remain confidential

Your firstname*

Family name*

Age

Email address*

Country

Tel. Country code

Tel. No

Fax

No. of adult travellers in group*

No. of children travellers in group*

Adult 2 - First name	Surname	Age
Adult 3 - First name	Surname	Age
Adult 4 - First name	Surname	Age
Child 1 - First name	Surname	Age
Child 2 - First name	Surname	Age
Child 3 - First name	Surname	Age
Groups of 7 persons will benefit from a group discount of 5% on Accomodation Fee Group of 8 persons and over please e-mail us with your enquiry for special group rates

Will you be taking a language course while on holiday?* Yes No