Page Text Content
BOOKING FORM
Please complete in Block Capitals NAME OF TOUR:............................................................................................................................................ DEPARTURE DATE:...................................................................................................................................... TRAVELLERS' NAMES (give your preferred title and names): 1........................................................................................................................................................................... 2........................................................................................................................................................................... ADDRESS:.......................................................................................................................................................... ............................................................................................................................................................................... ............................................................................POSTCODE/ZIP:................................................................ TEL. (HOME):..................................................................(WORK):.............................................................. FAX NO:.........................................................EMAIL:..................................................................................... ROOM/CABIN PREFERRED: Twin Double Single (Land trip only) TRAVEL INSURANCE IF ALREADY OBTAINED: Name of Insurer:................................................................................................................................................ Emergency tel no:...............................................................Policy no:.............................................................. Enclosed is a cheque for ..............................(deposit of £400/$800 pp.) Payment of ................................ sent by bank transfer. Do you have any disability or medical condition which might prevent you from participating in the tour?...................................................................................................................................................................... Do you have any special requests (i.e. dietary requirements)? Please give details in a separate letter if necessary........................................................................................................................................................... PASSPORT DETAILS: 1. Name (if different from above).......................................Nationality:........................ Date of Birth:......................................Passport No:............................................. 2. Name (if different from above).......................................Nationality:........................ Date of Birth:......................................Passport No:............................................. I have read and agreed to the booking conditions on behalf of all those listed above, and hereby confirm my booking. SIGNATURE...................................................................................................DATE...................................
e
38
|
inbro