WILDCAT ADVENTURES
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Name(as shown on passport): |
Main
Driver/Passenger: |
| Male/Female: |
Email: |
| Address: |
Postcode: |
| Tel.No. Day: |
Tel.No.Evening: |
| Date of Birth (driver must be 25+ and Passengers
must be 18+ years) | Occupation: |
| Licence
No (required for all persons intending to drive vehicle): | Nationality: |
|
Passport
No |
Passport
Place of Issue: |
|
Passport
Date of Issue: |
Passport
Expiry Date: |
|
Tour Price |
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| Tour Name: |
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| Single Supplement Y/N (for cost see tour details): |
I
wish to share a room with: |
| TRAVEL
/ BREAKDOWN / VEHICLE INSURANCE / Vehicle Registration Doc (V5): Please supply photocopies to us 90 days prior to departure
- Insurance Documents must show coverage for ALL in your party who intend to drive
your vehicle | |
|
PAYMENT:
Bankers Draft/Cheque
in £(Pounds Sterling) payable to Wildcat Adventures Wire
Transfers & Paypal payments accepted please contact us for details | |
|
HEALTH: Please
indicate whether you suffer from any medical condition or are taking medication. | |
| DIET:
Have you any special
dietary requirements? | |
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How
many years have you been offroading? | |
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What
sort of terrain have you driven on? | |
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Vehicle Manufacturer |
Model: |
| Number of seats including driver |
Number
in your party: |
| Engine Size & Fuel type |
Registration
No: |
| I
have read and understood your booking conditions, I am
30+ (if driving) or 18+ (passenger) years of age and I am willing to accept the
terms and be bound by the same terms. Confirmation of booking and information
package will be sent to main driver. | |
| Signature |
Date |
To secure your space please complete
in capital letters and return to along with your deposit to:
Wallace Park
FK7 7UY
Tel/Fax (44) (0)
1786 816 160 www.wildcat-adventures.co.uk