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Booking Request and Quotation Form

Please complete as much of this form as possible for us to confirm the prices and dates of your trip or hire.

Contact Details:
Your First Name(s):	*
Your Surname:	*
Your Home Address:	*
City:	*
County:
Post Code:	*
Daytime Telephone Number:	*
Evening Telephone Number:
Mobile Telephone Number:
Your email address:	*
Please confirm your email address:	*
Accommodation in Cornwall: (if known)
Address:
Telephone:
Trip Details:
Trip Name or Type:	*
Please specify any additional equipment you wish to hire:
Preferred start date:
Additional Trips:
Please give details of an additional trips:
Details of your group:
Please fill in the details of all your group members including yourself, giving your groups names and ages. If canoeing or cycling, please complete the height box so we can ensure we have the correct size of equipment for you, and tick the Swim 25m box to confirm that anyone canoeing can swim over 25 metres.
Name Age Height Swim 25m?* 1   2   3   4   5     Please use the Special Request box below for groups of over 5 persons. * Canoe trips only
Do you or any of your group have any medical conditions we ought to be aware of ?
Medical Condition:		No Yes
If Yes please give details in the section below.
Any Special Requests:
Please use this space to tell us about any extra equipment you require, any accommodation requests you have or any specific or unusual route requests you have.
Please note: if your booking includes a trip with inclusive accommodation we will contact you by telephone to discuss your requirements with you.
Special request details:
It would help if you could tell us where you first heard about Encounter Cornwall, thank you.
Many thanks for your enquiry ! We will now send you an email to confirm the details of your booking request and the total price of your trip. Our email will also contain all the information you need on how to pay for your trip (we take payments by Credit / Debit card or by cheque), as well as a copy of our booking conditions. Your provisional booking will then be confirmed once your payment is received. Please Contact us if you have any further questions.

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