Blue Star Ferries domestic lines reservation form.

ONE WAY TRIP DATA

Date of Departure

/ /

Embarkation

Destination

Accommodation Category

Vehicles Category

No of Vehicles

Length in meters Registration Nr (plate)

Vehicles Category

No of Vehicles

Length in meters Registration Nr (plate)

RETURN TRIP DATA

Date of Departure

/ /

Embarkation

Destination

Accommodation Category

Vehicles Category

No of Vehicles

Length in meters Registration Nr (plate)

Vehicles Category

No of Vehicles

Length in meters Registration Nr (plate)

PASSENGERS DATA

	sex	name	surname	age	nationality
Passenger No 1
Passenger No 2
Passenger No 3
Passenger No 4
Passenger No 5
Passenger No 6
Passenger No 7
Passenger No 8

*The following fields are required :

*Name:

Fax:

*E-mail:

Please make sure it is correct.

*Telephone:

Mobile:

Address:

How did you find us
in Internet?

Comments

Attention Please! Domestic Tickets must be sent by express post or courier to you, as it is necessary to have them beforehand. Please choose the way appropriate for you.
Courier USA, other Countries (29 Euro extra charge - delivery needs 3-4 working days) Courier rest of Europe (25 Euro extra charge - delivery needs 2-3 working days) Express Register Post for ABROAD only (15 Euro extra charge - delivery needs 15-20 days ) Courier within Greece ( 9 Euro extra charge - delivery needs 1-2 working days ) Our Agency (in Crete island only - 0 Euro extra charge )

PAYMENT DATA

I authorise Paleologos Shipping and Travel Agency to charge my credit card :

Credit Card

Name on Credit Card

Card Issue Date

Card Expiration Date

Credit Card Number

ATTENTION VISA-MASTERCARD & AMERICAN EXPRESS OWNERS!
According to the VISA and MasterCard International Organisations, the three (3) digits verification number following your card's number at the back of your card, by the signature. American Express owners should check your four(4) digits verification number in the front of your card. (see example), is ABSOLUTELY NECESSARY
in order to complete a mail order.
Please insert your verification number in the box bellow.

Credit Card Verification Number :

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