Form 90030 Attica 010112

							                                                                                                                                Form 90030 Attica




                                                          FIP RESERVATION REQUEST FORM

                       NAME OF REQUESTING FIP AGENCY/RAILWAY ENTERPRISE:


                       CONTACT DETAILS :
                       Name :                                                       Fax:
                       Tel :                                                        E-mail :


                                                                                    Requested Date :

                       PASSENGER INFORMATION :                  TOTAL PAX:           PAX contact TEL:
                       Last Name                                             First Name                                Title   Age




                            DEPARTURE DATE :                                               RETURN DATE :
                              ADRIATIC SEA                                                 ADRIATIC SEA
                       PATRAS       ANCONA                                          PATRAS       ANCONA
                       PATRAS       BARI                                            PATRAS       BARI
                       IGOUMENITSA BARI                                             IGOUMENITSA BARI
                       IGOUMENITSA ANCONA                                           IGOUMENITSA ANCONA
                       ANCONA       PATRAS                                          ANCONA       PATRAS
                       BARI         PATRAS                                          BARI         PATRAS
                       BARI         IGOUMENITSA                                     BARI         IGOUMENITSA
                       ANCONA       IGOUMENITSA                                     ANCONA       IGOUMENITSA


                       TYPE OF ACCOMMODATION                                        TYPE OF ACCOMMODATION
                       D - deck                                                     D - deck
                       S - Aircraft Type Seats                                      S - Aircraft Type Seats
                       DOR - dormitories with shared WC                             DOR - dormitories with shared WC
                       AB4 - 4 bed inside cabin                                     AB4 - 4 bed inside cabin
                       AA4 - 4 bed outside cabin                                    AA4 - 4 bed outside cabin
                       AB3 - 3 bed inside cabin                                     AB3 - 3 bed inside cabin
                       A3 - 3 bed outside cabin                                     A3 - 3 bed outside cabin
                       AB2 - 2 bed inside cabin                                     AB2 - 2 bed inside cabin
                       AA2 - 2 bed outside cabin                                    AA2 - 2 bed outside cabin
                       LUX - 2 bed outside cabin                                    LUX - 2 bed outside cabin


                       VEHICLE TYPE/REGISTRATION DETAILS
                       Make/Model & Registration No :

                       FIP MEMBERSHIP DETAILS
                       Name of Card holder :
                       Card Type :
                       Card Number :

                       Remarks




                       THIS AREA TO BE COMPLETED BY ATTICA GROUP (SUPERFAST FERRIES & BLUE STAR FERRIES)

                       BOOKING REF :                                                APPROVED BY:

                       TOTAL PRICE :

                       BOOKED BY :

                       DATE :                                                       DATE & SIGNATURE OF PERSON APPROVING:




Issue date: 1 January 2012