Booking Form

“Thank you again for the amazing and fabulously inspiring last two weeks – I managed to narrow down my 4,172 pictures to a top 100”

Dennis (USA), Undiscovered South India

Please fill in this booking form as completely as possible. The asterisk symbol (*) indicates required fields. Make sure you have read our terms and conditions and ticked the checkbox at the bottom of this form before submitting. If you want to know how we use your personal information, please review our privacy policy

Note that your place on the trip is not guaranteed until we have received this form and your 300 UK pounds deposit. For available payment options please see our payment information…

Trip Name and Departure Date

Your Trip*

Departure date:

Year

Do you want a single room?

It is important that you select either “Yes” or “No”.

Yes No

Personal Details

Gender:

Male Female Other

Title

First name(s)* (as on passport)

Last name* (as on passport)

Preferred first name

Nationality*

Date of birth*

Passport number*

Address, Phone & Email

Address 1st line*

Address 2nd line

Town/City*

Postcode/Zip*

Country*

Home telephone*

Work telephone

Mobile-/cell phone

Email address*

Home Contact While You are Away

Name*

Telephone*

Relationship*

Additional Information

Insurance details (e.g. phone contact, company name, reference no.) You can send this information along with a copy of your policy later.

Medical conditions or allergies*

Any dietary requirements? Please be specific for instance vegetarian, but eat fish.

Where did you hear about us?

Have you travelled with us before?

Yes No

Agreement

I hereby confirm that I am of legal age (at least 18 years old). On behalf of the person listed in this booking form I am authorised to make this booking.

Your Name:*

I have read and accepted Wild Photography Holidays’ terms & conditions and privacy policy.*

Important!

When you have submitted the form successfully, you will see a thank you message. A copy of your completed form will be mailed to your address immediately. If you don’t receive this copy, the form was not completed properly and we will not have received it. Please check that all required fields marked with * have been filled in and that you have ticked the terms & conditions box at the end of the form. Errors or omissions will be listed in red at the top of the form.