





Outdoor
& Travel Tour
Targu Mures
540067
Tel:
+40-745512127
Bolyai Farkas Street Nr.25/2
Tel:
+40-365-408094
(Transylvania) Romania
Fax: +40-365-408094
E -
mail Adventure :
climbing.experience@gmail.com
E -
mail Travel:
outdoor.travel.tour@gmail.com
| CONTACT US FORM: | |||||||
| Tile: | or | ||||||
| First Name/Initials: | (required) | ||||||
| Last Name | |||||||
| Address Line 1: | (required) | ||||||
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| City: | (required) | ||||||
| Zip/Postal Code: | (required) | ||||||
| Country: | (required) | ||||||
| Home Phone: | (required) | ||||||
| Mobile Phone: | |||||||
| E-mail Address: | (required) | ||||||
| Where did you hear about us? | other | ||||||
| How we can help you? | |||||||
| We welcome any additional comments and suggestions: | |||||||
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BOOK AN EXPEDITION ONLINE, BOOKING
FORM
All your detail being transmitted to our office. Alternatively, you can print out and post or fax us a copy of the booking form. |
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| Please reserve 1 place for: | |||||||
| Dates/Joining in: | |||||||
| Person 1 : Surname: | Initials: | Known Name: | All forenames (as passport) | ||||
| E - Mail: address: | |||||||
| Insurance: It is a condition of booking your trip with Climbing - Experience that you have appropriate travel insurance that covers all adventurous activities. This must include cover for rescue, emergency medical treatment, repatriation and cancellation. |
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| Passport: | |||||||
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| Date of Issue: | |||||||
| Expiry date: | |||||||
| Nationality: | |||||||
| Occupation: | |||||||
| Date of Birth: | |||||||
| Dietary needs? | details | ||||||
| Next of Kin: | |||||||
| Name: Relationship: Tel: | |||||||
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Address of Correspondence :
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| Zip/Postal Code: | |||||||
| Tel: (work) | (Home) | ||||||
| Tel: (Mobile) | Fax: | ||||||
| Where did you hear about us? | Detail:
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| Any other comments/special circumstances:
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| Declaration:
- On behalf of the person's) included on this form, I am
authorized to make
this booking and have read and agree to the Booking Conditions. To the best
of my knowledge, all persons taking out this insurance and any person on whom
the travel plans depend, are in good physical and mental health, know of no
circumstances why the holiday is likely to be cancelled and are not
traveling against the advice of a medical practitioner or for the purpose of
obtaining medical treatment. |
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