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G e o f f  S i m p s o n  P h o t o g r a p h y  L t d

p h o t o   t r a v e l   -   p o r t u g a l

b o o k i n g   f o r m

Please print and post this form, accompanied by the relevant deposit payment

 Click here to print out this form in landscape orientation

Name
Address
Postcode
Telephone No.
Mobile
Email
Departure Date
 

Fee: 1,395.00 ~ (Non-Refundable Deposit 395.00) per participant (no single room supplement)
Contact & Tel No. For use in emergency only
Relationship
Nationality
Passport Number
Any special dietary requirements
Photographic ability
Departure airport (please circle) Manchester
  Birmingham
  Gatwick

Please forward deposit payment made payable to Geoff Simpson Photography Ltd

"Camberwell"   1 Buxton Road   New Mills   High Peak   Derbyshire   SK22 3JS   United Kingdom

When payment is received, confirmation of your booking will be made.
 

SIGNATURE:______________________________ DATE: ___________________

All cancellations will incur at 25.00 administration fee.

Balance due 70 days prior to course commencement.
 

________________________________________________________________________________________

all content Geoff Simpson Photography Ltd 2007 all rights reserved

tel: 44 (0) 1663 743 089    mobile: 44(0) 7813 082 132   e-mail:

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