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LiFeline Eco-Volunteering
BOOKING FORM
You must complete ALL sections otherwise your booking
will not be valid
Please complete this form and fax it to LiFeline's Headquarters in
the UK Fax no. + 44 870 7059616.
| Please print your personal
details below: |
| Your Name:
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| Your
Address: |
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E-mail address
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| Telephone Number |
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| Age |
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Sex |
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Accommodation is in shared rooms.
Do you wish to share with a travel companion? If so please specify
name
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Do you have any specific dietary
requirements?
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Do you have any medical problems
we should be aware of
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I have a reasonable standard of
physical fitness.
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My preferred dates are
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First choice |
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| Second choice |
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| Tours
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Belize Zoo @ US$75 per
person |
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| Mayan site @ US$85 per
person |
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| Both tours @US$160 per
person |
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Cost of course
per person US$1790
Deposit US$440 per person (non-refundable) |
TOTAL US$
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Credit Card Details (please circle)
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Amex |
VISA
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Mastercard |
Diners
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Discover
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| Name of cardholder |
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| Card No. |
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| Expiry date |
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| Amount US$ |
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| Signature |
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Bookings and payments are being handled by LiFeline's parent organisation
The Ridgeway Trust for Endangered Cats, UK registered charity 802812.
Payment in full must be received 40 days before departure. Tours must
be paid for 40 days before departure.
No refunds will be made less than 28 days before the
start of your course.
N.B. Before booking flights contact LiFeline for details/times
of flights to Belize.
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