b'BOOKING FORM BookingTourOFFICE USE ONLYReference CodeTOUR INFORMATIONTour Title:Copy this form or call us on 0345 475 1815 if you would like to book multiple tours,Departure Date: D D /M M /Y Y Y Y add extra nights or upgrade your flights. Additional forms available on our web site.LEAD PARTICIPANT please ensure all details are exactly as shown in passportTitleFirst NameSurname Known asMaleFemaleAddress Single RoomTwin RoomDouble Room Telephone Post/Zip CodeCountry Mobile Please include international dialling codes where applicableEmailDietary RequirementsPlease let us know any food allergies and intolerances along Passport detailsNationality with any information you feel we should knowNumberDate of Expiry D D / M M / Y Y Y YTick if you would like a quote for upgraded travel (See overleaf)Tick if you wish to travel land only and exclude our flight arrangements Date of Birth D D / M M / Y Y Y YTravel / trip insurance DetailsPlease see relevant passage in our Important Information for full details on insurance requirementsProviderPolicy No24 hr Contact Tel No Next of Kin DetailsThis section is optionalNameContact NoRelationship Where did you hear about The Cultural Experience?I consent to any photographs where I may appear to be used in promotional material for The Cultural ExperienceI confirm I am aware of the tour activity level and I am of the required fitness to undertake this tourBOOKING AUTHORISATIONI have read, understood and agree to accept the booking conditions on behalf of myself and others included on this formSignature Date D D / M M / Y Y Y YPAYMENT INFORMATIONI have read, understood and agree to accept the booking conditions on behalf of myself and others included on this formI wish to book place(s) and I enclose a non-refundable deposit of per person being a total amount ofPlease note that the full balance will be required if booking less than 70 days before the departure date of the tourI wish to pay by:VisaMastercardDebit CardChequeBank TransferPlease refer to our booking conditions in our brochure or on our website. Please make all cheques payable to The Cultural ExperienceCard Number This is the last 3 digits of the numberExpiry DateD D / M M / Y Y Y Y Security Code on the signature strip of your cardName as it appears on the payment card I confirm the name and address of the credit/debit card holder are as for the lead participant aboveSignaturePrint Name785926 TCE BROCHURE 2025-26_Aug25.indd 78 22/08/2025 13:35'