HEALTH & YOGA HOLIDAYS BOOKING FORM

HEALTH & YOGA HOLIDAYS BOOKING FORM

Please print out and fill in this form and return it with your deposit to:
H & Y Holidays
133A Devonshire Road
London SE23 3LZ

Name

Address

Phone
Home:

Work:
email address

Flight arrangements
if known

Do you require a taxi from the airport to Golkoy? Yes no

Single room required?
(NB extra cost) yes no

Special diet required? yes no

Details of travel insurance if known

I enclose a cheque for £100
payable to
P Cullingworth as a deposit
for H & Y course With:- Course name Starting date

‘I understand that I must
covermyself with my own
travel insurance’

Signature Date

©H&Y Holidays 1999

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Name
Address
Phone Home: Work: email address
Flight arrangements if known
Do you require a taxi from the airport to Golkoy?	Yes		no
Single room required? (NB extra cost)	yes		no
Special diet required?	yes		no
Details of travel insurance if known
I enclose a cheque for £100 payable to P Cullingworth as a deposit for H & Y course With:-		Course name		Starting date
‘I understand that I must covermyself with my own travel insurance’		Signature		Date