Booking Form
Alternative Travel Group T/A ATG Oxford 274 Banbury Road, Oxford OX2 7DY, England Reg. in England No 1449375 Office use
This booking form is subject to ATG Oxford’s Booking Conditions. Please write clearly and tick appropriate boxes. Please complete sections in the cream tint boxes if applicable. PLEASE NOTE: Adequate insurance cover is a condition of booking. Name of Trip
Start Date
No. of people
Accommodation* c
Standard
c
No. of days*
Superior
c
5–6
c
7–8
c
15
c
22
* Footloose / Freewheeling only
NAMES OF ALL TRAVELLERS Should each person travelling want a separate invoice and pre-trip information, separate booking forms are required. Title
First Name
Surname
Date of Birth
Room Type
1 2 3
Please indicate: (D) Double (T) Twin (DFS) Double for single occupancy
4
For additional passengers please attach a separate sheet
PASSENGER INFORMATION If we already have your current passport details on file, please leave blank Passport No.
Place of Issue
Date of Issue
Date of Expiry
Nationality
Date of Birth
Place of Birth
Occupation
1 2 3 4
For additional passengers please attach a separate sheet
FLIGHTS (FROM UK ONLY)
EXTENSION ACCOMMODATION Arrival Date
Departure Date
Hotel Name
ATG to book the following flights Business class Date From (airport)
Economy class To (airport)
Outward Return
INSURANCE Please tick to confirm you have adequate travel insurance:
For those on escorted trips making independent travel arrangements: I will meet the group at: the destination airport the first hotel Please provide details of your flight Date
DOCUMENTS TO BE SENT TO
From (airport)
Flight No.
To (airport)
Outward
Name:
Return
Address:
BICYCLE HIRE (FREEWHEELING ONLY) Tel:
Details of person travelling
Fax:
Email:
Height
Information & Correspondence Please send confirmation of this booking, correspondence and pre-trip information:
Inside leg length Preferred frame type (m/f)
c
Electronically (email + attachments)
c
By post
1
2
3
4
ROAD • MOUNTAIN • HYBRID
The correct bicycle size cannot be guaranteed without your measurements
PAYMENT (Note: 2% surcharge for Visa/Mastercard credit card; 3% surcharge for Amex) c US$ I would like to pay in*: c UK£
TAXIS Please book a taxi transfer for
persons for:
Outward flight (above) Flights independently booked
Deposit c I enclose a cheque (UK £ only) for the deposit of 10% per person, payable to
ATG Oxford or
Return taxi can be booked by Route Manager whilst on your trip
Airport
c Please debit my credit/debit card for the deposit
Flight No.
Flight arrival time
Outward
Balance (payable 60 days before departure) c I will send the balance when due, either by bank transfer or cheque
(UK£ cheques only). c Please debit my credit/debit card for the balance when due**.
** Please note – balance will be taken automatically from card on due date. Visa/Mastercard/Amex (Amex – Sterling only)/Delta/Maestro 4-digit code (Amex) Card No. 3-digit code (others)
Valid from or issue No.
Name on card:
DIET AND HEALTH Diet & Health Please indicate any dietary restrictions or relevant medical conditions (see Booking Conditions)
Card expiry date:
Date:
Signature
EMERGENCY CONTACT * You may not switch between currencies for deposit and final payment
11th Trip If you are claiming your 11th trip, please provide a list of prior trips with dates taken.
Emergency contact whilst travelling with ATG Name:
Tel:
Relationship:
+44 (0)1865 315678 • trip-enquiry@atg-oxford.com
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