order
form
check
details
booking
summary
deposit
payment
billing
details
order
confirmation

Wild Ambitions
- secure booking form

Geotrust
  • Please complete the booking form below, and click the "check details" button at the end.

  • You will then be shown a summary of your booking details for you to check for accuracy.

  • When you have confirmed that these are correct you will be directed to our credit card secure payment system to pay your deposit. All transactions are encrypted to ensure the highest level of security.

  • Alternatively, print off this page and mail it to us along with your deposit cheque in UK £ sterling.

  • As soon as we receive your deposit and booking request form, we'll confirm your booking within a few days, or contact you if the tour is full or we need to amend the details.

Use this button if you want to start the form again     

Holiday details:

  Dates Destinations
 
 

Details of your party:

(your details first please)
  1 2
Surname
Initials
Title
   
First Name
(by which you wish to be known on the trip)
Date of Birth
(for some flight bookings)
Accommodation Type
*Please note that it may not always be possible to find you a room-mate,
in which case the single supplement will apply
  3 4
Surname
Initials
Title
   
First Name
(by which you wish to be known on the trip
Date of Birth
Accommodation Type

Correspondence details:

Contact Name:
*Tel (home): *essential field
Tel (work):
*E-mail: *essential field
Address Line 1:
Please note that all correspondence will be sent to this address. If you want details to be sent to more than one person, please use a separate booking form
Address Line 2:
Town:
County:
Country:
Post Code:

How you found out about us:

If this is your first booking with WILD AMBITIONS, please let us know how you found out about us:
This is not my first booking
Personal recommendation
Advertisement or other source
(please state where)

Special requirements:

Do you have any special dietary or other requirements?
Do you have any special flight requests?
Would you like us to arrange any additional services
(eg connecting or different flights)?
(Please note that in order to book flights, we need to know this information as early as possible.)


Travel insurance:

Please note that from 1 January 2009, due to UK Government legislation, we will no longer be able to offer Travel Insurance to our clients.

However we think that travel insurance is a must whenever you travel abroad. We are therefore recommending our specialist insurance brokers Campbell Irvine, underwritten by AXA Insurance (UK) plc.

To arrange cover or to obtain a quotation please contact Campbell Irvine directly or apply online at www.campbellirvine.com tel: 01737 223 687, email: info@campbellirvine.com. Alternatively you can contact us to request a travel insurance application form.

Passport Details:

(not needed for UK tours)
  1 2
Full Name
Nationality
Place of Birth
Passport No.
Place of Issue
Date of Issue
Date of Expiry
(Please note that even if you don't have a current passport, we still need your full name.)
  3 4
Full Name
Nationality
Place of Birth
Passport No.
Place of Issue
Date of Issue
Date of Expiry

TOTAL deposit amount

please enter the total amount in pounds sterling
as specified in the tour description    
£

Do you accept the conditions of booking?

I accept
I do not accept

Everything completed?

Please make one more final check for accuracy and then press the "check details" button below to review your booking details.



order
form
check
details
booking
summary
deposit
payment
billing
details
order
confirmation