RUA REIDH LIGHTHOUSE WALKING HOLIDAYS BOOKING FORM
Once you have read all the booking conditions, please print this booking form and post it to: Chris Barrett and Fran Cree - Rua Reidh Lighthouse Melvaig - Gairloch - Ross-shire IV21 2EA, Scotland, UK (Telephone: +44 (0)1445 771 263) NAME...................................................................... ADDRESS................................................................... .......................................................................... .......................................................................... .......................................................................... TELEPHONE ............................... EMAIL .......................... CHOSEN HOLIDAY............................................................ DATES..................................................................... COST OF CHOSEN HOLIDAY (PER PERSON)............................. UK pounds ACCOMMODATION OPTION (Tick as appropriate) Shared hostel accommodation (self-catering) [ ] Full board: Twin room [ ] Double room [ ] Single room [ ] (Single room supplement is 80 UK pounds.) DEPOSIT ENCLOSED .............................................. UK pounds (80 UK pounds PER PERSON) TOTAL ENCLOSED ................................................ UK pounds PERSONAL DETAILS: DIETARY REQUIREMENTS? ................................................... AGE (if under 18 years) ................................................. Any medical details we should know about? PAYMENT DETAILS (delete as appropriate): Bank transfer / Cheque / VISA / MASTERCARD (if other, please specify) If paying by credit or debit card, please give the following information Full name on card: ........................................ Card number: ........................................ Expiry date: ......... (Switch only) Card issue number: ......... Card issue date: ......... SIGNED ................................................................. DATE ............................