Name:
Address:
Post Code:
Tel. (day):
Tel. (eve):
Fax::
1) Holiday:
Possible 2nd choice:
2) Meeting at:
3) Accommodation:
a) Hostel (dormitory accommodation or family rooms only)
b) Hotel / Guest House:
4) Age: 18-25 25-35 35-45 45-55 55-65 65+
5) Meals: do you have any special dietary requirements.(e.g. Vegetarian, allergy etc.)
6) How did you hear of Lomond Walking Holidays: (e.g. Advert in Country Walking magazine, recommendation, Internet etc.)
7) do you have any medical conditions that might affect your walking ability?
8) Please briefly outline any previous walking experience below:
I / we enclose a cheque or postal order (deposit) for £.........
(cheques or postal orders must be in UK Pounds Sterling)
or please debit my Access, Visa, Delta, Eurocard, Access, Mastercard Account £.............
(please write clearly)
Card No. ............................................... Expiry Date..........................
Name as it appears on Card......................................................................
* BALANCE OF PAYMENTS BY CREDIT CARDS 2% HANDLING FEE IS CHARGED*
Signed................................ Date.....................
...................................... Date.....................