Booking Outdoor

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1 Your Information

2 Details and price of your voyage

3 Payment information

Organisator's name*
Address*
ZIP Code*
City*
Country*
Telephone*
Email*
Fiscal number*
Number of rooms Casa Do Flores*
Single room Double room Triple room Quad room Extra sea view /night Extra half-board /day /person
Number of rooms Whale Come Ao Pico*
Single room Double room Triple room Family room Twin room (2 single beds) Extra sea view /night Extra half-board /day /person
Number of persons*
Number of entrants*
Entrants : name - date of birth - passport #*
Date of birth*
Passeport #*

Details and price of your voyage
Dates of your voyage
From*
To*
Intended date*
Intended time*
Alternative date
Alternative time
Comments
Please provide us with a confirmed flight number and arrival place and time, using this window.
Unit Price*
Number*
Book dish(es) of the day :
- for lunch
- for dinner
Total Price*
Deposit 30%*
Balance outstanding*
You can use the currency converter : Converter

Payment information
For your payment you can use*
- Credit Card (CB, Visa, Mastercard, etc.)
- Bank exchange or SWIFT : see address below
Credit card (CB, Visa, Mastercard, etc.)
Card Number*
Expiration*
(MM/YYYY)
Name*
Security Code*
(the last 3 figures of the number located at the back of your credit card)
Our site is secured, however you can also print this form and send it to us by fax at: + 351 292 672 617
Check (in €) : see address below
Espaço Talassa
Rua dos Baleeiros
9930-143 Lajes do Pico
Açores - Portugal

Please note that any possible cost will be at your own expense and required at the moment of payment.
Bank exchange or SWIFT : see address below
Espaço Talassa, Lda.
Santander Totta S.A.
9930 Lajes do Pico
Bank account : 0008 0624 8925 020
IBAN: PT50 0018 000806248925020 44
BIC/SWIFT: TOTAPTPL

Please note that any possible cost regarding transfers will be at your own expense and required at the moment of payment.
ANCV Chèques Vacances (France only)
Une fois le formulaire rempli, cliquez sur Envoyer. Nous vous contacterons pour terminer la procédure de paiement par Chèque Vacances.
Security
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Terms & conditions*
- I agree with the Terms & Conditions
Bank information*
- I was informed that the treatment of my bank information in relation to this reservation is done manually by an operator and after paying 30% of the credit card deposit, the credit card information submitted will be destroyed.

Details and price of your voyage