Casa Rosa Apartments Algarve Portugal

Right Click to print this form, then send it  with your 25% deposit cheque to Casa Rosa.

Casa Rosa Apartments
8701 906 Moncarapacho, Algarve, Portugal              

Phone (00351) 289 794400      Fax (00351) 289 792952      

Main Contact Name:
Address:
                                                                               Post Code:
Phone No:                             Fax No:                               Email:
Total Number in party is:                    Adults:                    Children:
Names: 1)                                                       2)
            3)                                                       4)
Apartment No, required:          Total No, of nights:         Do you require a cot?
Travel Details:
Arrival Date:                  Time:                Place:                  Flight Number:
Departure Date:             Time:                Place:                  Flight Number:
Car Hire:    Group of Car:              Number of days:              Start date:

Accommodation Cost:
                                Total Cost of Accommodation is:                                     
                                Deposit enclosed 25% is:                                                 
                                Balance remaining is:                                                        
                                Balance to be paid 6 weeks prior to your arrival.


You may pay to:-   Nyborg - Actividades Tur e Hoteleiras Lda
IBAN :PT50 - 0045 7100 4016 0853 4862 9
SWIFT CODE: CCCMPTPL
BANK: Credit Agricola, Rua de Sto Antonio, 119-121, 8000 284, Faro, Algarve, Portugal
Pls state your name and dates as reference at the payment.

Signature and Date:                                                  

Terms and Conditions