BOOKING FORM – PERSON ONE                                       Ojen, Spain St Andrews Main Home Page

Holiday/Course in Ojen, Spain  or St Andrews, Scotland, UK          Please tick

 

Holiday/Course Dates

From ____________________________________            To ______________________________________

Personal Details

Title_________       First Name___________________           Surname__________________________________

Address ____________________________________           Town/City_________________________________

Region/County________________________________           Country________________ Post/zip code________

Tel Home:___________________________________           Tel Mobile:________________________________

E-Mail:_____________________________________

Passport No.(if relevant)________________________             & expiry Date___________ Date of Birth________

Emergency Contact

Title____________ First Name__________________              Surname__________________________________

Address____________________________________            Town/City________________________________

Region/County________________________________            Country______________  Post/Zip Code_________

Tel Home: ___________________________________            Tel Work: ________________________________

Tel Mobile: __________________________________

Dietary Needs and Other Requirements

Please give any dietary needs, appropriate medical/mobility information plus any other comment._________________________________________________________________________________

________________________________________________________________________________________

Travel Insurance Details

Company Name_____________________________                          Tel no:_____________________________

Policy No.__________________________________                         Emergency Tel:______________________

Your Holiday/Course Costs

1 weeklong holiday/course…………………….                                      £__________

2 weeks holiday/course (£50 discount)………..                                      £__________

Plus any extras (e.g. special room - Ojen)….…                                      £__________

Less any discount………………….………….                                      £__________

 

Total holiday cost……………………… ……..                                       £__________

 

Payment

Total amount enclosed.

Minimum of £200 booking fee per person – Ojen, Spain                  £ __________

Minimum of £50 booking fee per person – St Andrews, Scotland    £ __________

                    

Text Box:  

I am paying by electronic bank transfer (if outside UK)  

I enclose cheque/ payable to Lange Art Studios      

Text Box:  

I have read and agreed with the booking conditions  

 

Signed ___________________________                                           Date __________________________

 

Text Box:   Flight Information      (if relevant)  Outward                                                                                              Return Dep. Airport     ………………………….                     Flight No……………………..…………   Arrival Date………...…………….…….                                            Dep. Date………………………….. Arrival Time………..…………………..                                             Dep. Time………………………….