MARTIN MORAN MOUNTAINEERING

 

SECURE ONLINE
BOOKING FORM

 

For urgent enquiries or immediate booking please call 01520 722361
(+44 1520 722361 outside the UK)

 Name:

 

 

 
 Tel/Fax

Address 

 E-mail
         
To make further payment on a previously booked course please go to the
card payment section
         
Please reserve places
 course
 
 Dates 1st Choice    2nd Choice

Age Occupation

Do you require:

Vegetarian or special diet

Insurance cover (incl. Cancellation, 3rd Party, Baggage) (available on Scottish Courses for £15 per week)

Hire of Equipment
climbing harness      helmet       rucksack    plastic boots
ice axe      ice hammer      crampons


Do you have any medical condition relevant to the activities of which we should be aware?

Please make a brief note of your past experience and future aspirations:


See Prices for deposit amounts, Booking Procedures and Conditions and Methods of Payment.

Have you read and do you accept our Terms and Conditions of Booking?
Please tick the box to confirm >>>>>>>

If booking and wishing to pay by credit card please submit the following additional information:

Please note that payments of fee balances by Credit Card are charged commission of £10 on transactions <£1000 and £20 on transactions >£1000; Debit or Maestro card transactions are not charged

CARD TYPE
CARD NUMBER
CARDHOLDER'S NAME  
CARD EXPIRY DATE
AMOUNT (UK POUNDS)

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