Name of Leader

Address

Phone (daytime, evening and mobile)

Email address

Arrival date

Start date of activities

Course name or activities required

Cost Per person

Total Cost

Deposit amount (25%)

Balance (due two months before the start date)

Payment Method of Payment (please tick) Visa [ ] Delta [ ] MasterCard [ ] Switch [ ] Cheque [ ] AMEX [ ]
Amount £__________

Card no

__ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __

Card expiry date __ __ / __ __ valid from __ __ / __ __ security code _____ Issue no _______

Name of Card Holder (as on card) _________________________________________________________

Address of card holder if different from above

I  have read and agree to the published terms and conditions at www.proadventure.co.uk

Please take the above payment from my card.

Card holders signature                Leaders Signature

Booking To book send a 25% deposit (full payment if less than eight weeks in advance)
Prices are subject to change, but not after booking confirmation.
Fitness You need to be of average fitness for most activities, though most can be tailored for less able groups. You must be able to swim for white water rafting and kayaking.
Cancellation What Happens if you cancel?  More than two months in advance – Your deposit will be forfeit.  Less than two months in advance – your deposit will be forfeit and you are still contracted to pay the balance in full.. We retain the right to cancel at any notice, in which case you will receive a full refund. We reserve the right to change the course if conditions dictate.
If you do not wish to be put on our regular mailing list please tick here [ ]

Please list the following on a separate sheet,

1                Provisional list of group members.

2                Any relevant medical problems for any course participant.

3                Name and age of any group members under 18 (minimum age 12 unless accompanied by parent or legal guardian, 15 for some courses).

Please make cheques payable to Pro Adventure Ltd

Send or fax to ProAdventure Ltd, 23 Castle Street, Llangollen,
LL20 8NY. Call 01978 861912.   Fax 01978 860605.

Email sales@proadventure.co.uk