Glow Booking Form

Page 1

Booking Form Name Of Group/Company Name Of Social Organiser Company Address

Postcode

Daytime Tel

Mobile Emergency Mobile During Trip

Email Address

Title Of Tour Duration Of Tour (I.E 3 Day 2 Nights) Date Of Departure Total No. Of Passengers Travelling Full Coach Departure Point Address (Please Provide A Map With Clear Directions As This Will Be Passed On To The Coach Driver)

Postcode Euro Tunnel Crossing Required Yes / No

(A £10 Supplement Per Person Will Apply. Subject To Availability)

Departure Airport (If Applicable) Tour Price Per Adult £

Tour Price Per Child £

Special Requests

Your Glow Contact Payment Details

Deposits Or Full Payments For No. Of Adults £

No. Of Children

Grand Total Paid By: (Please delete) Cheque / Bacs Transfer / Cash

£ £

Please make cheques payable to Glow (LS) Limited To be signed by social organiser/party leader I confirm that, on behalf of all persons taking part in this trip i have carefully checked all details recorded on this form and agree that it contains complete information on all our requirements. I and all members of the group, have also seen/been given the opportunity to read the terms and conditions presented by glow and have also read and understood the cancellation charges. I and all members of the group, have had our attention drawn to the passport and visa section.

Signed (On Behalf Of All Passengers)

Insurance Glow strongly recommends that each passenger takes adequate travel insurance cover. Glow is not responsible for any passenger’s insurance cover for this trip.

Glow 30 Clare Street, Old City, Bristol BS1 1YH T 0845 308 8300 E hello@gowithglow.com W gowithglow.com Glow (LS) Limited, trading as Glow Registered in England 6892622 Registered Office 38 Gores Park, High Littleton, Bristol, BS39 6YG VAT No 972 4160 19

Date


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