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Fields marked with * are required.

1. Cruise Name*

Cruise Dates*

3. Ship*
4. Cabin Category*
Participant 1
5a. Mr./Mrs./Ms/Miss
or other title*
6a. Forename(s)*
(in full, as in passport)
7a. Surname*
(Family Name)
8a. First Name you wish to
be known by on the tour*
9a. Date of Birth*
10a. Place of Birth*
11a. Nationality*
12a. Profession*
13a. Passport Number*
14a. Place of Issue*
15a. Date of Issue*
16a. Date of Expiry*
Participant 2
5b. Mr./Mrs./Ms/Miss
or other title
6b. Forename(s)
(in full, as in passport)
7b. Surname
(Family Name)
8b. First Name you wish to
be known by on the tour
9b. Date of Birth
10b. Place of Birth
11b. Nationality
12b. Profession
13b. Passport Number
14b. Place of Issue
15b. Date of Issue
16b. Date of Expiry
17. Do you want single
(where available)
18. Are you joining the tour in London?*
19. Special requirements
(dietary information, additional flights, hotel bookings etc)
20. Address(es)*
21. Telephone*
22. Telephone
23. Email*
24. I would like to pay by credit card and will provide the details (card number, expiry date, name as on card) by phone or fax
I have sent the deposit by bank transfer
25. Deposit Amount Due*
26. Contact name(s), address(es) and telephone number(s) in case of emergency during the tour*
27. Name of travel insurance provider and policy number (if known)

If you are travelling alone and would prefer to share a room (subject to a room-mate being available), please answer 'No' to the single room question. If a smoker wishing to share, please indicate this under special requirements.

The deposit required is the amount specified in the tour description in the Ocean Adventures brochure.

I/We have read the tour description in the Ocean Adventures brochure/website and the booking conditions.
I/We accept these booking conditions in full.
I want to read more on Ocean Adventures Booking Conditions.
I/We do not suffer from any disability which would prohibit full participation in the tour.
(In addition, you must advise us if you suffer from any potentially serious medical condition)

28. Signature(s)*
Please type your name
29. Date

Photograph courtesy of Oceanwide Expeditions

Adelie Penguins taking the plunge!

email:   tel: 01254 826116 (international: +44 1254 826116)   |   Booking Conditions  |  Contact Us
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