TOUR TO TUSCANY 2016 BOOKING FORM Please complete the following which together with a payment of £150 per person will book your place PASSENGER (1) PASSENGER (2) Title Surname (EXACTLY as on passport) Forename(s) (EXACTLY as on passport) Date of Birth Singer Info & Voice *Please delete/indicate as applicable SOPRANO / ALTO / TENOR / BASS* 1ST / 2ND * SINGER / NON-SINGER* SOPRANO / ALTO / TENOR / BASS* 1ST / 2ND * Insurance: Please note that deposits are non-refundable. We strongly recommend that you take out insurance at the time of paying your deposit in case circumstances change and you need to cancel and recover any payments made, and please read the policy small print carefully! Would you like to use OneStage insurance at a cost of £9.04 per person (Y/N) Room Preferences: Room preference if travelling with another passenger *Please delete/indicate as applicable Room preference if travelling alone *Please delete/indicate as applicable DOUBLE / TWIN* I would like to share a twin room with ___________________________________________ OR I would be willing to share a twin room YES / NO* OR I would like to book a single room and pay the supplement of £60 (£15 per night) YES / NO* Declaration: I enclose/have organised a transfer for a deposit of £150 per person and agree to pay the balance in instalments in February and May 2016 as requested. Deposits must be received by 20th October 2015. Payments can be made: By cheque payable to “The Leconfield Singers” and posted to “The Treasurer, The Leconfield Singers, Little Slifehurst Farm, Kirdford, West Sussex RH14 0JN” or handed to Ruth Thompson at choir rehearsals By bank transfer to the The Leconfield Singers, A/c: 89077776 Sort Code: 60-16-27, quoting reference 'TOUR' + your surname Signed: _________________________________________ Date:_______________________________________