Booking Form

Riders

Title

First Name
(as passport)
Surname
(as passport)
Date of
Birth
Nationality
(as passport)
Passport
Number
Insurance Required
1.

 
2.

 
3.
4.

 
Tour Name
Departure Date
Accommodation & Food
 
Special Dietary Requests
 
Please advise if you want
 
Room Type
.
Ride Only     All Inclusive

 
Twin Single

Riding Details
Please tick your appropriate skill level and complete your weight and height
to ensure we are able to provide the appropriate horse for you
  Beginner Novice Intermediate Experienced
Intermediate		 Professional Weight
Kg		 Height
ft.ins
1.
2.
3.
4.

 
Please give a brief description of the type of riding that you have done,
advising how regularly you ride and what type of horse/s you normally ride
1.
2.
3.
4.

Insurance

It is a condition of joining one of our holidays that you must be fully insured against medical and personal accident risks. If you have decided not to take out insurance through Equine Adventures, please send us the name of your insurance provider, a contact telephone number, your policy number, expiry date and details of the medical and repatriation cover provided.

Contact Details

Address for lead passenger:
Tel: Home   Tel: Work 
E-mail Address

Where did you hear about Equine Adventures?
Horse & Hound Horse & Rider Your Horse Other
Game Fair Three Counties Your Horse Live Other
Internet Word of Mouth Repeat Client Other

Payment

Please charge my credit / debit card Mastercard Visa Card American Express Card Delta Card Maestro
Holder's name:

Card number:     Valid from:  Expiry date:

Issue number:  Security Code:   

Please charge my final balance 10 weeks before departure YES NO

Deposit / Full amount (£):  plus the insurance premium of (£):  
Cheques should be made payable to Equine Adventures or to your travel agent if effecting the booking through them.

Please note: Final balances are subject to a 1% credit card commission charge.
Delta and Maestro cards are exempt.

On behalf of the person(s) included on this form I agree to accept the Booking Conditions as stated.

Signature:   Date: