Eco Adventures    
 
 
 
Booking Form

Please complete all parts of this booking form and return it as soon as possible, the information will help us to make your trip as trouble free as possible.
 
 
 
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No.
Mr/Mrs
Miss/Ms
First Name
Last Name
Date of
Birth
Where were you born?
Nationality
Level of*
Fitness

We require the exact names as in you passport, for our purposes your passport determines your nationality.
* Please indicate on a scale of 1 to 10 your level of fitness 1 being least fit 10 being most fit
Please attach your cheque of Deposit £150.00 per person or full payment if within 61 days of departure.
Make all cheques payable to THE TRAVEL SHOP.
Contact details ( first named above )
 
Address :
 
 
Post Code : Daytime Phone : Evening phone :
Email Address :
 
 

 		   Details of your tour / trip:
 
Name of tour : Date of Departure :
 
Our flights leave from Heathrow, do you wish to travel from any other UK airport and if so which one?
Do you have a special dietary requirement?
Do you have any special request or seating preference?

 We will make these request on your behalf but we cannot guarantee any special request.

Does any member of your party have a medical condition, disability or impediment we should be aware of? Please give details below.
 
 
It is essential that you have adequate travel insurance, you should take this out at the time of booking.
 

 		   Please give us details of your travel insurance : 
 
Name of your insurers :
Insurers emergency contact number :
Policy number and names of the insured :
 
 
 We also need to know who to get in touch with in the event of an emergency. Emergency contact :
 
Name : Contact No. :
Name : Contact No. :

 

 		   Please make sure you have read our booking conditions.
 
  I agree to the Booking Conditions.
 

 

 		   Click here for Printer Version of the Booking Form
 


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