Booking Form

Please provide the following contact information:

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
County (state)
Postal Code (Zip)
Country
Work Phone
Home Phone
Mobile Phone
E-mail

Which Holiday or Course do you require:

Long Weekends

Private Instruction

Please describe what you require

For how many people are you booking: We give a group discount of 10% for four or more booking together.

No of group if greater than one:

Names of other group members:

When would you like to come?

First Choice

-- dd/mm/yy

Second Choice

-- dd/mm/yy

Do you want collecting from Bangor? (Please contact us nearer the time with the time of your bus or train.)

Yes No

Do you want us to arrange boot Hire?

Walking Boots

Yes No

If so what size?

Rock Boots

Yes No

If so what size?

Do you or members of your party have any dietary wishes? .

Do you or members of your party have any medical conditions that we should know about?

Can we have a name and telephone number of someone to contact in an emergency?

How did you find our web site? (search engine, advert, recommended etc.)

Fitness and Experience. To make your holiday or course more enjoyable, we endeavour to ensure that groups are composed of individuals with the same standard of fitness/experience. So, in the space below could you please list the Names and Ages of your party and give a brief description of their fitness and relevant experience.

Insurance. We have negotiated special cover for our clients and recommend that you take advantage of it (see Insurance page). Do you want this insurance?

Yes No

If so for how many people and how many days?
Total Premium £ Remember to include this amount with your deposit

Deposit Please enclose a deposit of £100 per person, plus any insurance premium due. Unless under 6 weeks before the holiday date in which case the full amount is due.

Payment Methods . We accept the following:
Eurocheques, travellers cheques or cheques drawn in £ Sterling. Make payable to HIGH TREK SNOWDONIA. We do accept cheques drawn in a foreign currency at the current rate of exchange but have to charge an additional £15 per cheque as a handling fee. You can also transfer money direct to our bank please e-mail for details.

Cheque in post

We also accept credit/debit cards:
PLEASE NOTE WE CHARGE AN EXTRA £2.50 PER PAYMENT FOR CREDIT CARD PAYMENTS

Card Type
Cardholder Name
Card Number
Start Date		Issue No (Switch only)
Expiration Date

Declaration I agree that all individuals to whom this form relates agree to be bound by the conditions of booking which I have read.
Agreed
The above declaration must be agreed to before the form will be accepted

High Trek Snowdonia
Tal y Waen
Deiniolen
Gwynedd
LL55 3NA
Tel:01286 871232
Fax: 01286 870576
Email high.trek@virgin.net