Booking Form

To book a holiday with us please complete the form below and follow any instructions.

Alternatively please email [email protected] or call us on +(44) 01824 710320.

(Please note that all names, initials and titles must correspond exactly to your passport for air ticketing purposes).

Contact Details:
Title, initials and surname:
Your postal address:
Town/City:
Province/County:
Postcode/Zip:
Country:
Telephone:
Fax:
E-mail address: * REQUIRED
Passport Details of ALL Travellers:
Title & First name in full as on passport: Surname as on passport: DOB: If New Experience is booking your flights enter passport details...
Passport Number:
      Issue Date:
      Expiry Date:
      Country of Issue:
      Nationality:
Passport Number:
      Issue Date:
      Expiry Date:
      Country of Issue:
      Nationality:
         
Passport Number:
      Issue Date:
      Expiry Date:
      Country of Issue:
      Nationality:
         
Passport Number:
      Issue Date:
      Expiry Date:
      Country of Issue:
      Nationality:
         
Passport Number:
      Issue Date:
      Expiry Date:
      Country of Issue:
      Nationality:
         
Journey of your Choice:
Route 1:
Route 2:
Arrival date:
Departure date:
Number of New Experience nights:
Room type:

Board Basis:
BB HB

Any special dietary requirements:
Guided walking:
Self Guided walking:
Baggage Transfers:
Number of bags:
Flights and International Train Details (If New Experience are making the booking for you):
Departure airport/station:
Departure time outbound:
Departure time inbound:
Travel Options:

If an offered extra at additional cost I require...

In flight meals
Specific seat booking
Extra leg room seat
Priority boarding
Business or 1st Class
Extra baggage allowance

Flights details (If you are booking directly):
Outbound Flight Number: Time:
Return Flight Number: Time:
Insurance details:
Insurance arrangements (please provide insurance company, policy number and their emergency contact number) :
Other Comments (please write here any details of the holiday not covered by the remainder of the form) :
Payment:
I enclose/authorise deposits at £150 per person
Total:£
I  intend to pay by cheque:
(please make payable to "New Experience Holidays")
I intend to pay by debit card and will phone or post you the details:
(please note there is no handling charge for UK debit card payments; for charges on overseas debit cards, please enquire)
I intend to pay by credit card and will phone or post you the details:
(no charge for credit cards)

By ticking this box you confirm that you have read our Terms & Conditions and agree they are accepted by all those named on this form
Name:
Date:
Please keep me up to date with new destinations and special offers

Please check that you have filled in all details correctly and click on the Place Booking button. After submitting please post your payment details to:

Headwater Holidays, Unit 1, Theatre Court, London Road, Northwich, Cheshire CW9 5HB, United Kingdom

Successful submission of this form is indicated by a ‘thank you‘ page, if this does not appear check for errors on your form. 

 

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