Booking Form PDF

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DECLARATION To be completed by the First Passenger (Party Leader) on behalf of ALL of the party
MOBILITY DECLARATION
See “Your Mobility & Tour Suitability”, Booking Information, page A.
I declare that I and all of my party are capable of:
* Carrying and lifting our own luggage
on to and off trains?
YES NO
* Walking at a reasonable pace as part
of a group?
YES NO
* Climbing steps without assistance? YES NO
If the answer is NO to any of these questions, you or your
travel agent will need to discuss the suitability of your
chosen tour with Railtrail before booking.
Please do not hesitate to contact us.
Return this signed Booking Form by fax to 01538 382525 or post to:
Railtrail Tours Limited, 43 St. Edward Street, Leek, Staffordshire Moorlands ST13 5DN
Telephone: 01538 382323 email: web:
I have read and I understand the Railtrail Booking Information
and I have provided the Passenger Information needed to process
this booking. I have read and I accept the Railtrail Booking
Conditions on behalf of all of the above named passengers and
understand the importance of the Mobility Declaration.
I enclose a deposit payment as described above, and undertake
on behalf of myself and my party to pay the required balance
money no later than 13 weeks (Grand Tours By Rail and European
tours) / 9 weeks (UK tours) before the departure date.
Signed Date
Name (BLOCK CAPITALS)
Passenger 1 (Party Leader) Passenger 2
Passenger Information Please provide us with all the following information in order to fully process your booking.
Name
Special Diets
Any Medical Conditions
or Disabilities
Any Mobility
Restrictions
Next of Kin: Name
Relationship
Home Telephone
Mobile
National Railcard: Type
Number
Expiry Date
If a discount is claimed a valid National Railcard must be carried whilst on a UK tour.
Passport: Number
& Issue Date
Expiry Date
Nationality
Country / Authority
issued by
A Passport is not required for UK tour bookings, but photo ID may need to be carried on some UK tours.
Are you travelling with anyone else on this tour who will have sent us a booking form independently?
If so, whom?
Please tick on both of your Booking Forms to indicate that you wish Railtrail to make adjacent seat reservations where possible.
Insurance Company
Insurer’s Emergency
Contact No.
Policy Number
Insurance is not mandatory for UK residents travelling on UK tours
2018 C