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Reservation form
Kindly note: If you think your web request form fails, kindly note you can always send a regular text email to membersupport@siama.nl
By filling in this form, you are under no obligation to make reservations with us.
You will receive an e-mail from SIAMA with full price and flight information within one working day.
If you find the offer(s) acceptable, please send us an e-mail requesting us to make the reservations.
As part of our services to our members, we reply to your email within 1 working day. If you have not received a reply within this time, you can assume that we have not received your email, (for various reasons for example: computer/provider problems, full mailboxes, faulty telephone lines). We kindly request that you re-send your email with ‘ second request’ in the subject line. If your second request is also not answered within one working day, we kindly request you to contact us by phone.
please note: fields marked with * are mandatory to send you an offer.
Are you already a SIAMA member?
No
Yes
Customer Code:
Please select the number of passengers
--------
1
2
3
4
5
6
7
8
9
*
Name of your Organisation:
:
Will the contact address also be the invoice address?
:
--------
Yes
No
*
contact Address:
Your last name ( as in passport)
:
*
Your first name ( as in passport)
:
*
Address
:
Zip code
:
City
:
State
:
Country
:
Tel.nr
:
*
Fax
:
Email
:
*
Website
:
invoice Address:
Organisation name
:
*
Contact persons Last name
:
*
Contact persons First name
:
*
Address
:
*
Zip code
:
*
City
:
*
State
:
Country
:
*
Tel.nr
:
*
Fax
:
Email
:
*
Website
:
Passenger 1 Details:    
Last Name ( as in passport):
First Name ( as in passport):
Date of Birth
(dd/mm/yyyy)
MR
MRS
MS
MISS < 12 yr
MSTR < 12 yr
Passenger 2 Details:    
MR
MRS
MS
MISS < 12 yr
MSTR < 12 yr
Passenger 3 Details:    
MR
MRS
MS
MISS < 12 yr
MSTR < 12 yr
Passenger 4 Details:    
MR
MRS
MS
MISS < 12 yr
MSTR < 12 yr
Passenger 5 Details:    
MR
MRS
MS
MISS < 12 yr
MSTR < 12 yr
Passenger 6 Details:    
MR
MRS
MS
MISS < 12 yr
MSTR < 12 yr
Passenger 7 Details:    
MR
MRS
MS
MISS < 12 yr
MSTR < 12 yr
Passenger 8 Details:    
MR
MRS
MS
MISS < 12 yr
MSTR < 12 yr
Passenger 9 Details:    
MR
MRS
MS
MISS < 12 yr
MSTR < 12 yr
Travel Details:
(Optional) Special Fare code:
view special fare page
Departure Country:
*
Departure City:
*
Destination Country:
*
Destination City:
*
(Optional) Stopover Country:
*
(Optional) Stopover City:
*
Departure Date:
*
Return Date (if applicable ):
Payment Details:
Payment wil be in:
EUR
USD
CAD
CHF
JPY
GBP
Remarks
Please type this number (
481
) in this textfield-->
Yes I would like to be informed about SIAMA special fares and updates by email.