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):
______________________________________________________________________________________

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:
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):___________________________________________________
______________________________________________________________________________________
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



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