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arctic adventures swedish lapland - Nordic Experience

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NORDICE X P E R I E N C EBooking FormDEPARTURE DATE DEPARTURE POINT RETURN DATE TOUR CODE AND TITLE39 Crouch StreetColchesterCO3 3ENTel 01206 708888Fax 01206 508899e-mail: reservations@nordicexperience.co.ukTITLE FIRST NAME SURNAME DATE OF BIRTH(IF UNDER 18)CLIENT’S ADDRESSOR ABTA AGENT’S STAMPAGENT’S ABTA NOAGENT’S REFCLIENT’S EMERGENCY TELEPHONE NUMBERSDaytime ..............................................................................................................Evening ..............................................................................................................Mobile ................................................................................................................TRAVEL INSURANCEI understand that it is a condition governing acceptance of thisbooking that I and all others named on this form are coveredby comprehensive travel insurance. If I decline to take <strong>Nordic</strong><strong>Experience</strong>’s recommended policy covering the arrangementsfeatured in this brochure, I agree to indemnify the Company asto any costs that might arise which would otherwise have beenmet had such insurance been in place.My alternative insurers are:SPECIAL REQUESTSSigned:I WISH TO PAY BY: CREDIT CARD/DEBIT CARDCardNumber:Deposit(s) onlyDeposit(s) & Insurance PremiumsConfirmation invoice total (if within 10 weeks of departure)Balance 10 weeks before departureStart Date: Expiry Date: CC Security Code:*DD Issue No:*I ENCLOSE A CHEQUE PAYABLE TO NORDIC EXPERIENCEOR GIVE CREDIT CARD AUTHORITY FOR:Deposits (£150 minimum per person travellingdepending on tour booked)Total Amount (if within 10 weeks of departure) £Travel Insurance Premiums (see page 45 for rates) £TOTAL AMOUNT PAYABLE £I certify that I am authorised to make this booking on behalf of allthose named above and that I am responsible for ensuring paymentof all monies due in respect of this booking. I have read and acceptthe Company’s ‘Booking Conditions’ and ‘Small Print’ as beingincorporated within the terms of the contract between us.£Signed:Signed:Date:There is no charge for payments made by Debit Card; Credit Card payments are surcharged at2.4%; American Express payments at 3.6%. *for security reasons may be telephoned through<strong>Nordic</strong> <strong>Experience</strong> 47

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