Pedal Nation Bicycle Tours, Omnia One, 125 Queen Street, Sheffield, S1 2DU Tel: 0114 279 2790 Int. Tel: +44 114 279 2790 Fax: 0114 279 2601 Email: holidays@highplaces.co.uk
This is a Secure Website. However, if you prefer not to book online, you can download a booking form and post or fax it to us. Please read the Booking Conditions carefully before completing this form. We require completed booking form plus appropriate deposit before your reservation can be confirmed. Note your booking is with High Places Ltd an ATOL and ABTOT bonded tour operator.
Your Trip
Trip Name
Departure Date
Return Date
This booking is for
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Personal Details
Person 1
Person 2
Title *
First name * as on passport
Surname * as on Passport
Preferred first name
Nationality *
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Passport No.
Date of birth * (dd/mm/yyyy)
Address 1 *
Address 2
Town/City *
Postcode *
Country *
Daytime telephone
Evening telephone
Mobile phone
Email *
Person to contact while you are away
Name *
Telephone *
Relationship to you *
Special arrangements (e.g. single accommodation, extra nights etc.)
Summary of cycling experience *
Medical conditions or allergies allergies or any long standing injuries. * Please enter details or state "NONE"
Dietary requirements * (Please be specific e.g. vegetarian but eat fish, coeliac etc.)
Have you travelled with us before? *
Yes No
Which trips did you take part in?
Where did you hear about us?
Cost
Cost per Person
£
Deposit per Person
Total cost £ Total deposit £
The trip cost shown is for standard arrangements and will be different if you have requested a variation, e.g. an extension. You will then be sent a booking confirmation which will include a price breakdown including any special arrangements.
Payment
Deposit *
Card type *
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Card number *
Security Code or signature code *
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Name on card *
Expiry date *
Issue date: (mm/yy format)
Issue Number: (Maestro only)
On behalf of the person(s) listed in this Booking Form I am authorised to make this booking and have read and agree to the Booking Conditions.
I confirm that I have read the Booking Conditions