homepage link  

Langdale Walking & Adventure Holidays

Booking Form by MAIL

 
print form printpage
Fill in the form & click the left button (above) to print, or click the button (above right) to print a form you can fill in by hand

 
Please MAIL the form with your deposit to:
Langdale Walking & Adventure Holidays
Helsington Laithes Cottage
Kendal, Cumbria LA9 5RJ

Tel: +44(0)1539 735108
 
Payment details:
Please make cheques payable to

'Langdale Walking & Adventure Holidays'
Thank You.
Your Details (Name & Address of person to whom all correspondence should be sent)
Full Name:
Address:
Postcode:
E-Mail Address:
Telephone - Daytime:
Evening:
Your Holiday Details
Tour Name:
Tour Dates - Start:
    (dd/mon/yyyy)
Tour Dates - End:
    (dd/mon/yyyy)
Number in your party:
 
Passengers' Names (please print first name and surname as shown in passport; if known by another name please print this in brackets):
Title First Name Surname Passport Number Date & Place of Issue Age at time of holiday
Please indicate as appropriate from the brochure:
Departure airport:
Double Room:         Twin Room:         Single Room:
Special Requests, Upgrades & Arrangements, etc., as per the brochure:
It is essential that you take out adequate holiday insurance cover. Once you have finalised your holiday insurance please either show the details on this Form , including policy number, or let us have details at least four weeks prior to departure:
Next of Kin (Name, Address & Tel.No.)
Payment Enclosed:
Deposits for  persons

@ £50 each for UK, £250 each for EUROPE or £350 for WORLDWIDE = 		£
Please tick the following box - I am over 18 years old and I agree to accept the Booking Conditions of this holiday on behalf of the persons named above
Your Signature Date


 Back      Top  printpage


 Pixel-Images 2010