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MORAN MOUNTAIN LTD – BOOKING FORM

NEW COURSE/GUIDING BOOKING

Name *
Address
E-mail *
Tel No *
Age
Occupation
COURSE/EXPEDITION/SERVICE REQUIRED
Dates: 1st Choice
Dates: 2nd Choice
Number of Places
Names of OTHER members in group
Previous experience and aspirations (if not already submitted)
DIETARY REQUIREMENTS Vegetarian, allergies etc
MEDICAL CONDITION Please give details of any know medical condition or current medication which could be relevant to completion of the activities
FULL COURSE PRICE
X No in Group (total price)
DISCOUNTS CLAIMED (give details)
NET TOTAL PRICE
DEPOSIT PAYABLE 25% of NET TOTAL PRICE*		* Note: Full amount due now if booking made within 4 weeks of holiday commencement (Scotland), 6 weeks Norway, 8 weeks Alps, 3 months Himalayas

EXTRA SERVICES	Single Room Gear Hire (prices) Other Services (please note)
We will advise availability. Charges are payable with balance of fee Have you read and agreed to our Terms and Conditions of Booking? * PAYMENT TO BE MADE Please click submit button to send details and then you will be transferred to worldpay to submit your card details PLEASE MAKE A NOTE OF YOUR PAYMENT AMOUNT Our refund policy is explained in our Terms and Conditions Company Registration Number SC239353

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