Standard Booking Form if not paying Online
This form is designed for individual applicants. For Multiples or Group Bookings please PRINT and complete 1 for each applicant.
Highlight the full table and print selection only.
|
Title & Month required:
|
|
2nd Preference:
|
|
Name:
|
|
House Name or Number:
|
|
Street:
|
|
Town/City:
|
|
Postcode:
|
|
Tel (home):
|
|
Mobile No:
|
|
Date of Birth:
|
|
E mail address:
|
|
Any Previous Survival experience:
|
|
Any Illnesses or Allergies:
|
|
Occupation: |
|
In the event of an emergency, please supply details of a person to contact:
|
|
|
|
Do you require Accommodation for the night before Course?
|
|
How will you be travelling?
|
|
|
|
Full Payment with Booking Please
|
|
|
|
I hereby agree to the Terms & Conditions of the Company. A copy of which may be obtained on request
|
|
|
|
|
|
Signed: Date:
|
|
|
|
Please make cheques payable to: OUTDOOR EXTREME
|
|
|
|
Send to: Outdoor Extreme, Hillend House, Dunaskin, Waterside by Patna,
|
|
Ayr, KA6 7JH.
|
Remember you can pay for a Course On-Line by Credit Card. Just go to your chosen Course and pay
DONT forget to fill in your On-Line Booking Form and not the one above
For more information Contact: Alan
Jan
Or simply call: 01292 531675 or 07753313906
Copyright © J Finlay