Age:

Title:

Full name:

Address:

Post Code:

Tel No:

Tour date:

Destination:

Twin:

Special requirements (eg diet/disability:

Both:

Which battlefield(s) would you like to visit?

On which date do you wish to depart?

Total number of nights:

On which date do you wish to return?

How would you like to cross the Channel?

P&O Ferries:
(Portsmouth - LeHavre)

Preferred crossing time (outbound):

Preferred crossing time (return):

Vehicle make:

Model:

Reg. No:

To:

Somme - Royal Picardie

From:

To:

Somme - Hotel basilique

From:

To:

Somme - Avril Williams

From:

To:

Ypres - Guest House

From:

Twin:

Room(s)  -  Single:

Double:

Issue No:
(Switch):

PAYMENT:

Cheque

Expiry:

Cardholder's full name:

£

TOTAL:

£

Balance:

£