TRANSYLVANIA LIVE – Expert in Transylvania
Licence no. 4702 registered to Transylvania Live expert in Transylvania SRL,
Phone: 0040364 405641, Phone/fax: 0040 264 313 112, 0040 364 405642
Unique code:23075037, registration: J12/167/08
Head office: 28, Republicii street, Turda, 401167 Cluj county, ROMANIA
Account number: UniCreditTiriac Bank – Turda branch office, 15 Republicii street, 401095, Turda, Cluj County
swift code: BACXROBU, RO39BACX0000000200221001 – for EURO, IBAN RO12BACX0000000200221002 for USD
IBAN RO82BACX0000000200221003 for GBP, IBAN RO66BACX0000000200221000 for RON
/

RESERVATION FORM

You’re not compelled to mark the fields marked with *

Group leader (member 1)

Title
First name:
Surname:
Date of birth:
Passport serial number
House number:
Street:
City/village:
County/state:
Country:
Post code/Zip:
Daytime telephone:
Preferred period for time of call:
Alternative telephone*:
Preferred period for time of call:
Fax*:
Home e-mail:
Work e-mail*:
Contact me by: / Daytime telephone: Alternative telephone:
Home e-mail: Work e-mail:

Other group members*

Title / First name / Surname / Date of birth
2
3
4
5
6

Holiday Details

Type of holiday:
Holiday Name
(e.g. “Vampire in Transylvania”):
Prefered departure data:
Room type and the number of the rooms required:
Twin:
Double:
Single:
I want to avoid the payment of a single supplement and wish to share a Twin – Double Room with another tourist travelling alone, if possible*
Any dietary requirements or other special requests: (Smoker/non smoker, vegetarian, describe any special medical condition, etc)*
Any questions, notes or additional information: *

City Breaks add-on programs*

If you are interested in adding extra nights to a holiday, please state your group size
Name of the city break:

Hotel you wish to check in:

/
Room type and the number of the rooms required
Twin:
Double:
Single:
I want to avoid the payment of a single supplement and wish to share a Twin Room with another tourist travelling alone, if possible*
Non-smokers*:
Vegetarians*:
Any dietary requirements or other special requests*:
Any special medical condition*:
Any questions, notes or additional information *:

Emergency Contact

Please provide the name and telephone number of a friend or relative who can be contacted in the case of an emergency during your Transylvania Live holiday.
Name:
Relationship*:
Telephone:

Payment Details

Transylvania Live accepts payment of holiday fares either by internet (please see first our Reservation page and then our Payment page on the website) or by fax (please see the last part of this form), using your credit card or by transfer into our bank accounts:
Name of the company: Transylvania Live Expert in Transylvania
Banca Comerciala HVB Tiriac – Dorobanti branch office, 102-110, Calea Dorobantilor Street, I.st District, Bucharest,

swift code: BACXROBU
IBAN RO39BACX0000000200221001 for EURO, IBAN RO12BACX0000000200221002 for USD
IBAN RO82BACX0000000200221003 for GBP , IBAN RO66BACX0000000200221000 for RON

Remember, we require a deposit of EURO 145 (about USD 182 or GDP 97) per person for a holiday and EURO 96 (about USD 121 or GDP 65) per person for a short break. The deposit for the Budapest - Sightseeing on the Bus - 3 hours tour, EURO 23 (about USD 29 or GDP 16) must be paid in full at the time of reservationtion.

Billing address*:
(if different to that provided for the group leader)

Booking Conditions . It is of great importance that you have read and understood our booking conditions before making a booking. Please mark the box below once you have done so.

I have read and understood Transylvania Live’s booking conditions /
Signature
Data

Please print and then fill in the booking form.
Fax it:
from US to: 206-984-2640, from UK to: 0-808-101-6781; or from other countries to Romania: 0040-264-313112
or post it to our address: Transylvania Live USA, PO Box 44, Cape May, New Jersey, 08204, USA
Transylvania Live UK, 55 Church Road, Wheatley, Oxford, Oxfordshire, OX33 1LU, U K or
Transylvania Live, 28 Republicii Street, first floor, zip code 401167 Turda, Cluj County, Romania.

If you chose to send us a fax for payment by Visa, Mastercard or American Express, instead of using our on-line secure payment form, please complete and sign the following authorization to charge your trip (deposit or final payment).

CREDIT CARD CHARGE AUTHORIZATION

In order to process your reservation, please print, complete this form and fax it to:

206-984-2640 (from US) 0808-101-6781 (from UK) or 0040-264-313112 (from other countries)
File reference number:______

Guest(s) Name:______Holiday code______

I, ______(Cardholder’s name), I. D. number ______

Credit card billing address including city, state and zip code Phone number

hereby authorize Transylvania Live Expert in Transylvania to make the charges specified below to the credit card listed

______(Card type)

**Card number:______

*CVV2/CVC2 value______Exp date______

(*Please include last three digits on the signature panel - located on back of card)

the amount of ______reprezenting ______(deposit, fares, others - please specify)

Cardholders Signature:______Date______

**If splitting payment between more than one credit card, please fill out a separate form for each card

Please be sure that form has been completed in full and that all entries are legible and correct.

PLEASE TAKE NOTE: Transylvania Live expert in Transylvania SRL will appear on your billing statement.

www.visit-transylvania.us www.visit-transylvania.co.uk www.visit-transylvania.eu