Individuals booking form Please note — if you are booking for more than one person, we will require each guest to complete a booking form. Your contact details Full name as on passport (required) Name known by, if different Your Email (required) Address (required) Postcode (required) Date of birth (DD/MM/YY) (required) Passport Number (required) Passport expiry date (DD/MM/YY) (required) Nationality (required) NOTE: Passports (if you have one) are required on all our trips, including in the UK. If you do not have a current passport, please call the office for advice on 01803 883355. Gender (required) MaleFemale Tel no (best) (required) Mobile (required) eDofE no (for Duke of Edinburgh Trips only) Emergency contact Contact name (required) Relationship to self (required) Contact address in full (required) Tel no (best) (required) Mobile (required) Reservation details (all guests) Vessel (required) Commencing on (DD/MM/YY) (required) Finishing on (DD/MM/YY) (required) Waterproof clothing We can supply waterproof clothing Small 0123456 Medium 0123456 Large 0123456 XLarge 0123456 Special requirements Please detail or insert N/A. Dietary (detail special diets and all foods you need to avoid) Medical (list conditions and medication, inc dose and frequency) Reservation and payment details (trip organiser/payee) Cost per berth (required) No. of berths booked (required) 123456 Total cost (required) 25% deposit (required) Please contact me for credit/debit card details I shall send a cheque for the 25% deposit I shall send a cheque for the 25% deposit & hire of waterproof clothing I shall send a cheque for full payment I have read and agree to the conditions of booking as detailed in the terms and conditions You must accept the terms and conditions before submitting the form.