BOOKING FORM BY MAIL

LANGDALE WALKING & ADVENTURE HOLIDAYS
BOOKING FORM BY MAIL

TOUR NAME:________________________________________DATES:___________________________

Name and address of person to whom all correspondence should be sent. (Please Print):

Full Name:_____________________________________________________________________________

Address:______________________________________________________________________________

______________________________Postcode:______________E-mail:____________________________

Day Tel No:____________________Evening Tel No:________________Mobile:_____________________

Passengers' Names (Please print first name and surname as shown in passport; if known by another name please print this in brackets):

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Title	First Name	Surname	Passport No.
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Please indicate as appropriate from the brochure: Departure Airport:_____________________

Double Room [ ] Twin Room [ ] Single Room [ ]

Special Requests/Upgrades/Arrangements, etc. as per the Brochure______________________________

______________________________________________________________________________________

HOLIDAY INSURANCE: If you would like to take advantage of our own insurance arrangements, please tick here and we will send you details [ ]

If you are making your own insurance arrangements, please send us full details at least ten weeks prior to the holiday, or include this information below if known:

______________________________________________________________________________________

NEXT OF KIN (Name, Address & Tel No):___________________________________________________

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METHOD OF PAYMENT:

Deposit: £50pp for UK or £250pp for Europe or £350pp for Rest of the World or FULL payment if departure is within 10 weeks.

Deposits for______Persons = £_________

Cheque enclosed: YES/NO (Please make payable to LANGDALE WALKING & ADVENTURE HOLIDAYS.)

Card Type _____________________(Visa/Mastercard/Switch etc.)

Card Number ________________________________

Start Date ________________ Expiry Date ______________ Issue No. ____________(if applicable)

3 Digit Security Code ______ (last 3 digits on signature strip)

Please Note: Deposit payments can be made by credit or debit card free of charge. Balance payments can also be made by debit card free of charge, but will attract a 2% levy if made by credit card.

I agree to accept the Booking Conditions of this holiday on behalf of persons named above, by whom I am authorised to make this agreement.

Signature:___________________________________________________Date:______________________

Please return with your remittance to:

LANGDALE WALKING & ADVENTURE HOLIDAYS

Helsington Laithes Cottage, Kendal, Cumbria LA9 5RJ England