Form

Online Booking Form

For help in completeing this for please call +44 (0)115 9877796

Boxes requiring a date show the required format for illustration purposes only. Please type over the DD-MM-YYYY shown.

Tour Name or Booking Reference

Departure Date

Return Date

Passenger One

Room Type

Double

Twin

Single

First Name

Last Name

Male

Female

Date Of Birth

Passport Details:

Nationality

Number

Expiry

Place Of Issue

Passenger Two

Room Type

Double

Twin

Single

First Name

Last Name

Male

Female

Date Of Birth

Passport Details:

Nationality

Number

Expiry

Place Of Issue

Passenger Three

Room Type

Double

Twin

Single

First Name

Last Name

Male

Female

Date Of Birth

Passport Details:

Nationality

Number

Expiry

Place Of Issue

Passenger Four

Room Type

Double

Twin

Single

First Name

Last Name

Male

Female

Date Of Birth

Passport Details:

Nationality

Number

Expiry

Place Of Issue

Passenger Five

Room Type

Double

Twin

Single

First Name

Last Name

Male

Female

Date Of Birth

Passport Details:

Nationality

Number

Expiry

Place Of Issue

Passenger Six

Room Type

Double

Twin

Single

First Name

Last Name

Male

Female

Date Of Birth

Passport Details:

Nationality

Number

Expiry

Place Of Issue

Contact Details

Address of first passenger to whom all correspondence will be sent
House No.
Street
Street
City
Postcode/Zip Code
Country

Phone Number

Mobile/Cell Number

Cost & Payment

Cost Breakdown (including supplements)
Holiday Item		P Person	Pax		Total
	GBP			GBP
	GBP			GBP
	GBP			GBP
	GBP			GBP
	GBP			GBP
	GBP			GBP
Total Holiday Cost Before Discount				GBP
Promotional Discount %			%	GBP
Total Holiday Cost				GBP
Deposit Type (please tick)	Standard			Special
Deposit Amount			20%	GBP
The type of deposit required is shown with the specific itinerary. Please see our Booking Conditions for full details.

Ways To Pay


CARD PAYMENTS
Please select from the list. For your security we willl contact you by phone to take your card details . Please enter the number and preferred time below:

Phone Number
Between		and
INTERNET & BANK TRANSFERS
We will send you our bank details by email.
CHEQUE PAYMENTS
Please make your cheque payable to Lionscape and post to: PO Box 9846 Nottnigham NG4 9DQ United Kingdom

Final balances paid by credit card are subject to a 2% commission charge. Debit cards are exempt. There are no charges on deposit payments made by credit card.

Confirmation & Authorisation

Please tick the following* to confirm your booking and then click the Submit button. To start again click Reset to clear the form.

I understand that it is a condition of joining the tour that passengers must be fully insured against medical and personal risks *

I understand that passengers should not book flights until a Booking Confirmation has been received from you *

I have read and understood the attached Booking Conditions *

click here to view

On behalf of the passenger(s) included on this Booking Form I agree to the Booking Conditions as stated *

Full Name (Block Capitals) *

Date *

Any Other Information Or Requests

Lionscape Indus

Registered in England no.7109961 Registered Office The Poynt, 45 Wollaton Street, Nottingham NG1 5FW Directors P J Cooper & L M Cooper