Name : ...................................................................................................
Address : ................................................................................................
Postcode : .............................................Tel : ..........................................
Course Type :..........................................................................................
Dates : ............................................
Number of Places : .......................... Cost per place : ..............................
Total Cost : ..................................... Deposit enclosed : ..........................
Special Requirements (Equipment Hire/Loan ect.)
Medical Alerts:
Minimum deposit = £20 per place
Cheques made payable to : Highland Adventurers
Signature : ........................................
Return to : Highland Adventurers
Treetops
Glenbanchur Road
Newtonmore
PH20 1EA
Tel/Fax 01540 670175