| 5a. |
Mr./Mrs./Ms/Miss
or other title* |
|
| 6a. |
Forename(s)*
(in full, as in passport) |
|
| 8a. |
First Name you wish to
be known by on the tour* |
|
| 9a. |
Date of Birth*
(dd/mm/yyyy) |
|
| 15a. |
Date of Issue*
(dd/mm/yyyy) |
|
| 16a. |
Date of Expiry*
(dd/mm/yyyy) |
|
| 5b. |
Mr./Mrs./Ms/Miss
or other title |
|
| 6b. |
Forename(s)
(in full, as in passport) |
|
| 8b. |
First Name you wish to
be known by on the tour |
|
| 9b. |
Date of Birth
(dd/mm/yyyy) |
|
| 15b. |
Date of Issue
(dd/mm/yyyy) |
|
| 16b. |
Date of Expiry
(dd/mm/yyyy) |
|
| 17. |
Do you want single
accomodation?*
(where available) |
|
| 18. |
Are you joining the tour in London?* |
|
| 19. |
Special requirements
(dietary information, additional flights, hotel bookings etc) |
|
| 24. |
I would like to pay by credit card and will provide the details (card number, expiry date, name as on card) by phone or fax |
|
| I have sent the deposit by bank transfer |
|
| 26. |
Contact name(s), address(es) and telephone number(s) in case of emergency during the tour* |
|
| 27. |
Name of travel insurance provider and policy number
(if known) |
|
If you are travelling alone and would prefer to share a room (subject to a room-mate being available), please answer 'No' to the single room question. If a smoker wishing to share, please indicate this under special requirements.
The deposit required is the amount specified in the tour description in the Ocean Adventures brochure.
I/We have read the tour description in the Ocean Adventures brochure/website and the booking conditions.
I/We accept these booking conditions in full.
I want to read more on Ocean Adventures Booking Conditions.
I/We do not suffer from any disability which would prohibit full participation in the tour.
(In addition, you must advise us if you suffer from any potentially serious medical condition)
|
| 28. |
Signature(s)*
Please type your name |
|
