Order (Reguest) form. Booking. UKRUS ltd. Tickets bookihg, travel service, apartments, accommodation

«UKRUS» Ltd. — UKRAINIAN TOUR SERVICE

ORDER FORM	Towns to be visited Dates of visit Accommodation Transportation within Ukraine, Russia, Belarus Airport (train station) transfers Contact information

Tel./Fax +38057 7179554 Ukrus Ltd. 29-1 Ivanova Str. Kharkov. 61002. Ukraine

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Please, enter necessary information into the fields below. We'll review your request and our manager will contact you during 1 business day since the time you submit this form.

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Order (Reguest) form

Towns to be visited

Kyiv	Kharkiv	Odessa	Lviv	Yalta
Other

Dates of visit

FROM	Day Month Year
TO	Day Month Year

! Purpose of your visit I need Visa support

Accommodation: Hotel Apartment Homestay

Number of rooms (apartments): Number of nights:

Room(s) type:
Number of stars:

Apartment(s) type:

I don't need accommodation

I need transportation within Ukraine, Russia, Belarus

Tickets Request

to get from to
I'd prefer to travel by:

I need ticket(s)	for	Month	Year

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Passengers**:
	Round Trip	One Way	First Name	Last Name	Age
1
2
3
**	(if there are more than three travellers, please, write other names in the "Additional information & comments" field below)

I need RETURN ticket(s)	for	Month	Year

I need airport (train station) transfers

Type of payment* Bank transfer Credit card Other

Please, write your comments regarding desired way of payment in the "Additional information & comments" field below.

Your contact information


* Title: Mrs. Mr. Miss Dr.
* First Name:			* E-mail:
* Middle initial:			Phone number:
* Last Name:			Fax number:

Additional information & comments

It is necessary fill in fields, marked - "*"

ORDER FORM

Order (Reguest) form