Freespirit Holidays Booking Form
Please print and fill in or fill in and then print. Then send with deposit to the address below.
Holiday Dates
From
To
Name
Address
Post Code
Telephone
Date of Birth
Emergency Contact Name
Emergency Contact Telephone
Can we use you photograph in future brochures? Yes No
Total Cost of Holiday
Deposit Paid
Balance to Pay
Payment of the deposit for your holiday confirms your acceptance of the terms and conditions of booking printed in our brochure. Please send your completed booking form and deposit to
Sue Boyson,
Barlandue,
Polperro Road,
Looe
Cornwall PL13 2JE
Tel 01503 272143
email: sue@freespiritholidays.co.uk
Please make cheques payable to S. Boyson
About You…
Do you take medication? Yes No
If yes, please give details
Do you need any personal support? Yes No
Do you have any communication problems? Yes No
Do you have any special dietary requirements? Yes No
Is there anything else you think I need to know?