Wild and Free Dolphin Safari

Booking Form

Please fill out one form per person and press the SUBMIT button
* indicates Required Info

TRIP DATES please tick

2008: July 16 - 23 : 7 nights

2009: July 22-29: 7 nights July 29-Aug 5: 7 nights Aug 5-12 : 7 nights

2009: July 22-Aug 5: 14 nights July 29-Aug 12: 14 nights

2009: July 22-Aug 12: 21 nights

Name (as on passport) *
Title
Daytime Phone number *
Mobile phone number
email address * 
Address 1 * 
Address 2
Address 3
Post / Zip Code   * 
Country * 
Date of Birth (and Age if under 18) *
Nationality (as on Passport) *
Sharing with: (leave blank if single)
Special Needs: ie. vegetarian or special diet, allergies, physical or mental disabilities, health considerations.
Any questions or special requests?
PAYMENT FOR HOLIDAY
 A deposit of £200 secures your booking, full payment is due 90 days before departure.
I will post a cheque to Wild & Free, PO BOX 355, Carterton, OX18 9AX.
I wish to pay by Bank Transfer we will contact you with our bank details.
I will pay by PayPal (inc. 4% processing fee) - please invoice me

FLIGHTS
BOOK FLIGHTS HERE
You can book your flights to Marsa Alam (RMF) online from here, after we confirm your reservation. If you prefer, we will arrange flights for you if you are departing from the UK. Please call us for assistance on 0845 345 9052. Flights must be paid for by credit card - your payment goes directly to the ABTA/ATOL Travel Agent and you will receive full confirmation from them. We cannot accept flight payments by cheque or transfer. We cannot arrange flights departing from outside the UK. Please do not book flights until we have confirmed your reservation.

How did you find out about Wild and Free Holidays? *

Declaration: I have read and understood the Booking Conditions, and I agree that I will be bound to them. * I have read and understood the Booking Conditions, and I agree that I will be bound to them. I declare myself fit and competently able to swim in open water conditions. I have answered all the above questions truthfully and to the best of my knowledge. I am in good physical and mental health and I am not traveling against the advice of a medical practitioner. I acknowledge that traveling in Egypt may be of a hazardous nature of varying extent and I hereby accept full responsibility for any loss, liability, injury or damage whatsoever that I may experience during this journey. I am over 18 years of age.

PLEASE ENTER YOUR NAME:

 *
The parent or legal guardian of a client under 18 must sign on their behalf.
The information below can be sent later (up to 21 days before departure)
Passport number
Insurance Company
Insurance Policy no.
Insurance Co. phone
Emergency Contact no.