Booking Form
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Tour name
:
Tour dates:
From:
Date
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Month
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February
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September
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December
Year
2004
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2009
2010
To:
Date
1
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Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2004
2005
2006
2007
2008
2009
2010
First participant information
Title:
Mr
Mrs
Ms
Miss
Dr
Prof
First name:
Surname (Family name)
Date of birth:
Name as shown in passport:
Address:
Street number and street:
Town/City:
Postcode:
Country
:
Telephone home:
Office
:
E-mail:
Fax:
Travel information:
1. Do you travel alone?
Yes
No
2. If you travel with someone, please give his/her name.
3. Do you require a single room?
Yes
No
4. If you have already arranged to share a room with someone on the tour please give his/her name.
5. Do you suffer from any disability or illnes (Diabetes,walking difficulties, other)?
No
Yes
6. Please give details if you suffer from any disability or illnes
7. Do you smoke?
Yes
No
8. Are you vegeterian?
Yes
No
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