SRI LANKA UNDISCOVERED
THE PATHWAY TO PARADISE
BOOKING FORM – SRI LANKA TRAVEL (Pricing in Pounds Sterling, US Dollars and Euros)

COST
£450  ($800 or Euros 700)

TRAVEL DETAILS
Preferred start date………………………………………………………………………………………………………

PERSONAL DETAILS

SURNAME……………………………………………………………………………………………………………………………

FORENAMES………………………………………………………………………………………………………………………

ADDRESS……………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………….

TELEPHONE……………………………………….. MOBILE………………………………………………………

EMAIL…………………………………………………  FAX……………………………………………………………….…

NATIONALITY …………………………………  DATE OF BIRTH ………………………………

MALE/FEMALE…………………………………….PLACE OF BIRTH………………………………

GENERAL
Any allergies or disabilities?………………………………………………………………………………

Any dietary preferences?……………………………………………………………………………………

PAYMENT DETAILS
Deposit           £50……...   $100......   Euros 100......

Full payment   £450…………$800.....   Euros 700......
(if within 60 days of departure)

I HAVE READ AND ACCEPT THE BOOKING CONDITIONS

Signature……………………………………………………………………………Date………………………………….
 

Cheques payable to :  S.E.A. Whitehead.  Address :  S E Angela Whitehead, 24 Les Fougeres, 23000 St Sulpice le Gueretois, France

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