Online Booking Confirmation Form

Manually: You can either download our Booking Confirmation Sheet (41kb), fill it out and send with a cheque to us...

Online: Fill out the form below, and your details will be sent to Kirkhope Aviation via e-mail. We will e-mail you our account details with an invoice so you can transfer your deposit by direct debit.Credit cards can also be used but direct debit is the cheapest. Note 2% surcharge on Visa and 3.5 % on Amex credit card transactions

Please read the Terms and Conditions NB we strongly recommend taking out travel insurance

Please fill in this form below to confirm your Air Tour with Kirkhope Aviation online:

No email address? Call us...

Your e-mail address:

Name	Address	Phone	Clothed Weight (kg)	Age

Proposed tour:

Departure Date: //

If you chose 'Personalised' tour above, please describe briefly below:

Cost per PAX: $

Total Cost for the Group on this Form: $

Special Requirements:

Health:
Passenger:	Limitation:
Passenger:	Limitation:
Passenger:	Limitation:
Diet:
Passenger:	Limitation:
Passenger:	Limitation:
Passenger:	Limitation:

By sending this form:

I/We promise to pay the sum of $ being the deposit of $ per passenger for the number of passengers indicated above. (You may send us a cheque, or check here to request our bank details for direct deposit.) Note 2% surcharge on Visa and 3 % on Amex credit card transactions

I/We acknowledge the balance is payable 4 weeks prior to Departure, otherwise cancellation charges will apply.

I/We have also read and understood the Terms and Conditions from the link at the top of this form and agree to abide by them.

Date: //