NAME OF TRIP: Closing
date:
To: Location:
For flying trips, names MUST correspond
to those shown in your passport(s)
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Name |
HASSRA Leeds member
Yes/No No.
if known (found on back of Forum card eg: |
Type of Room Double/Twin/Single/Family (D/T/S/F) |
Amount of Deposit |
Balance of cost of Trip |
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Name of lead contact:
Address (Work
if staff member)
Phone (Work
if staff member) Mobile
E-mail (Work if staff member)
Please
ensure that you provide full contact details.
Failure may prejudice your booking.
Insurance cover, dietary or
ability requirements (must be provided with balance if not before )
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Name |
Insurer |
Policy No |
Expiry Date |
Dietary or other requirements |
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DISCLAIMER . This must be completed to enable
acceptance of the application I confirm that I have authority to act for all applicants and that all
have read, understand and agree to abide by the Booking Terms &
Conditions HASSRA Trips and Events* and
any additional terms specified in the trip advertisement. * These can be
viewed on the HASSRA ( Signed
(lead contact) Date
.. |
Travelling Alone? If travelling alone, would
you like to "buddy" in a twin room with another tripper of the same
sex, to avoid the single supplement? YES
/ NO
Would you be willing to "buddy" if you have requested a single
room but none is available? YES /NO
Please refer to the trip
advertisement for:
·
The names and address of the trip organiser, to
whom this form should be sent
·
The closing date for applications
·
The deposit required*
Balances will be required approx 4 - 8 weeks before trip.
Booking Form Notes: Cheques to be made
payable to HASSRA Leeds unless otherwise specified in the advertisement. In the
event of over-subscription, a ballot will be held and uncashed cheques will be
returned to unsuccessful applicants.
Remember to enclose your cheque with the application. Cheques will not be banked until after the
closing date, but bookings will not be accepted without a completed application
(with signed disclaimer) and deposit
cheque.
Travel insurance is recommended for all trips but is mandatory for
trips abroad. Insurance cover should
include cover for medical treatment, an emergency helpline, and repatriation
cover see also para 5 of the terms
and conditions. For activities such as mountain sports additional specialist
insurance will also be essential.
Applicants requiring confirmation that booking form & cheque has
been received must enclose a self addressed envelope/grid.
Refer to full terms and conditions when applying as printed in the Newsletter and on HASSRA Leeds website www.hassra-leeds.org