BOOKING FORM 2007 Homepage
Title First Name
Surname Age.
For Office Use only ____________________________________________________
Date booked
____________________________________________________ ________________
____________________________________________________ Holiday booked on
____________________________________________________ _______________
____________________________________________________
Accommodation
Permanent address______________________________________ ________________ ____________________________________________________ Deposit paid______
____________________________________________________ ________________
____________________________________________________ Invoice number
____________________________ Post code_____________ ________________
Telephone :
(Home)______________(Work)_______________
Insurance
E-mail address : _______________________________________ ________________
Contact address if different from above______________________ Confirmation sent ____________________________________________________ ________________
____________________________________________________
Holiday code Holiday name Departure
date
Nights Joining at__________
_________________________________________________________________________
Room type : Single Twin Double Triple Other________________
(Please tick ) .__________
Please tick if you are prepared to share with someone of the same sex.____________________
Special requirements__________________________________________________________
__________________________________________________________________________
Please give details of any
disability or medical problem(s)
__________________________________________________________________________
Please state how and when you
heard about Greenways __________________________________________________________________________
Payment herewith
Deposit(s)_______ : US$250 x persons = £ __
Total enclosed : US$ x persons = £_______
Please make cheques payable to
Greenways of England.
___________________________________________________________________________
Declaration
: I declare that I, the undersigned, am authorised to sign this booking form on
behalf
of all the above named persons, all of whom have read the booking conditions
and
agree to abide by them.
Signed : Date .