EWP Printable Booking Form (GB Pound Payments).

Booking Form for printing and posting or faxing to EWP (GB Pound Payments)

Trip

Dates

Code (if known)

First Applicant

Mr/Mrs/Ms

Surname

First Names

Nationality

Date of Birth

Occupation

Passport Number

Expiry Date

Date and Place of Issue

Phone (home)

Phone (work)

Phone (when on trip)

Fax

Work address*

Address

Street

Town

Postcode

State

Country

Second Applicant

Mr/Mrs/Ms

Surname

First Names

Nationality

Date of Birth

Occupation

Passport Number

Expiry Date

Date and Place of Issue

Work address*

Other information eg. special diet, other address, single supplement, vegetarian

Payment: Deposit (10% of trip cost) or full payment if within 8 weeks of departure.

Option 1 (cheque payment) I enclose a cheque for ....................................... GB Pounds made out to EWP.

Option 2 (credit card payment) Please debit my card for ...................................... GB Pounds
There is a 2% surcharge for final balance payments by credit cards.


Card Type and Number	Issue Number	Valid from (mm/yy)	Valid till (mm/yy)	3 digit security no.
Cardholder's name, address and telephone (not mobile) if different to above:

Applicants are required to have their own personal insurance for the trip; this should be organised as soon as possible. For advice on available policies please contact us.

Application: I have read and agree to the EWP Booking Conditions.
Applicants under 18 must have this section signed by a parent or guardian.

Signature(s) ______________________________ Date _________

Send this completed form with a cheque or credit card details to:
EWP, Haulfryn, Cilycwm, SA20 0SP, United Kingdom.
To discuss your booking and/or give us your credit card details by phone ring: Tel. +44 (0) 1550 721319
This form may be faxed to us - suitable for credit card payments Fax. +44 (0) 1550 720053
Email: ewp@ewpnet.com - do not send credit card details by email.

ALW 16/7/06