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Booking Form 2007-2008
Already booked by phone?
If you have already booked by telephone please tell us
Your booking ref. if known How much already paid £ Trip Name
Book Online Remember it's just as easy to
submit your details on our online booking form
Trip Details
Trip Code Do you require flights from the UK? X No. of persons =£ YES
Your Details
BLOCK CAPITALS PLEASE NB We require all the requested personal information to be completed. Also that names/titles must be EXACTLY AS THEY APPEAR IN YOUR PASSPORT. Please fill in details of first adult in this section, i.e. to whom correspondence will be sent, followed by details of all others travelling.
Mr Mrs Miss Ms Dr Male Female Surname Date of birth
Departure date Trip Cost per person £
NO
Additional Costs Please add in any other costs such as Flight Supplements (if you book flights through us, other than our designated group flights), additional services (such as extra accommodation) etc.
Details
£
First name Address
The Adventure Company Foundation A small donation of £1
Postcode Tel. Work
Tel. Home Email Address Your occupation Passport No. Place & Date of Issue Special dietary requirements (eg. vegetarian)
per person will be taken at the time of booking and this money will be put to good use on one of our carefully selected `responsible tourism' projects. If you would prefer to opt out of this donation do not fill out this section.
£1 X
Nationality Expiry Date
No. of persons
=£ £
Total Cost of Trip
Details of second person (where applicable)
Please provide any additional details on a separate sheet.
Mr Mrs Miss Ms Dr Male Female Surname Date of birth
Deposit 10% of `Total Trip Costs' or £100 per £ person (whichever is greater). We require a deposit of £750 pp for Expedition Cruise bookings. NB: Full payment required if travel is within 60 days of booking (90 days for our Expedition Cruises). Loyalty Discount if applicable)
Details
(or other offer
LESS ( £
)
First name Address
Postcode Tel. Home Email Address Your occupation Passport No. Place & Date of Issue Special dietary requirements (eg. vegetarian) Nationality Expiry Date Tel. Work
Travel Insurance For your protection, you must have Travel Insurance to travel with us. If you wish to take the insurance we offer, enclose the full premium with your initial payment.
If arranging your own insurance, you must have the same or greater level of cover than our policy - and we require proof that you are insured before we can issue your travel documents. No. of persons Totals Per person £ x =£
TOTAL £
Pre-existing medical conditions
Any pre-existing medical conditions must be disclosed, see page 56.
Next of kin details (in case of emergency)
First name Relationship Surname
Arranging your own insurance? We need the following insurance details if you're not taking The Adventure Company travel insurance
Insurance company Policy number
Tel. Home Tel. Mobile
Tel. Work Validity dates 24 HR emergency number
Special Requests Please detail any special requests for your travel party
and we'll do everything we can to help (but cannot guarantee).
A 1.5% levy on subtotal if FINAL/FULL PAYMENT is made by Credit Card. This charge is not made on payments made at time of Deposit OR on payment by Debit Card eg. Switch/Delta/Maestro.
TOTAL PAYMENT
£
Balance auto payment
For your convenience we will automatically charge any balance due 60 days prior to departure. If you do not want us to do this please tick this box: NO
Payment Details Please tick method of payment as applicable:
Cheque made payable to The Adventure Company Credit card: Visa Mastercard Debit card: Delta/Connect
Card Number:
IMPORTANT Please sign here or your booking may be delayed
I have read and accept pages 54-58 of this brochure (including Booking Conditions) on behalf of all persons listed who appreciate the risks inherent in adventure travel. I (We) do not suffer from any disability or pre-existing medical condition which would prohibit full participation in the trip(s).
Signed: Date:
Switch
Maestro
Issue Date:
Expiry Date:
Switch Issue No.
Security Number:
DATA PROTECTION
Name that appears on card Address (if different from above) Postcode
From time to time we may send you by post brochures, newsletters, special offers and other information about our holidays which may be of interest. Tick here if you do not wish to receive such information. Tick here if you would like to receive information and/or offers about our holidays by e-mail (about once a month).
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