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Bronja Holidays Enquiry/Booking Form

Please use the form below to send your enquiry, with no obligation, or booking. All your details will not be used for any other purpose. Please fill in as much of the form as possible so that we may supply you with correct information. Fields with an* are mandatory.
Name and Surname* 
E-mail address* 
Tel/fax including country code 
Number of adults* 
Number of children
Enquiring about:
Date of arrival in Malta/Gozo*
(month mandatory!)
*
Date of departure
Coming from (country)
Flight number/time
Transport required? 
Yes No
From?
Malta Airport to Gozo Farmhouse/Apartment
Gozo Harbour to Farmhouse/Apartment
Gozo Heliport to Farmhouse/Apartment
Car Hire or other services? 
 
Message/other notes:

 If booking, please fill in:
 

Credit card number 
Card details
  
 
Expiry date
Name on card


©2003 Bronja Holidays 
'Villa Bronja', Triq it-Torri, Xlendi 
Gozo, Malta VCT 115
Telephone:+356 2155-1954 - Fax:+356 2155-9028
Mobile :+356 99462897, +356 79241958
E-mail: gozo@cometogozo.com