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PRINTABLE BOOKING FORM

Print and complete this form then send to:
PETE HILL MIC, 71 HIGH STREET, ABERLOUR, AB38 9QB.      FAX: 01340 871071

A NON-REFUNDABLE deposit of £50.00 per person is required at time of booking. The balance must be paid 28 days prior to commencement of the course. The full course fee may be paid at time of initial booking if wished (including the non-refundable deposit), and is payable immediately in the case of late bookings.  We are also happy to take bookings over the telephone, by fax or by e-mail, which will then be reserved for 5 working days subject to the deposit being received within that period.

Personal details.

Name: ...........................................................................................
House / Street: ...........................................................................................
Town / City: ...........................................................................................
County: ...........................................................................................
Post Code: ...........................................................................................
E-Mail Address: ...........................................................................................
Phone Number (home): ...........................................................................................
Phone Number (work): ...........................................................................................
Other course participants : ...........................................................................................
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Course Details.

Course: Winter Skills Week
Winter Mountaineering
Winter Skills Weekend
Greater Ranges A
Greater Ranges B
Winter Ropework
Intro Rock Climbing
Intro/Inter Rock Climbing
Intermediate Rock Weekend
Improvised Rescue
 SPA Training
SPA Assessment
SPA Reassessment
ML Training
ML Assessment
ML Reassessment
ML Refresher
Hillwalking & Navigation
Scrambling
OTHER (DETAIL BELOW)
Other: ...........................................................................................
Date: ...........................................................................................
If booking an SPA or ML course, please supply the following information:
Address in log book ...........................................................................................
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Postcode ...........................................................................................
Date of Birth ...........................................................................................
Registration Board  
MLTS         MLTE         MLTW         MLTNI
Registration Number ...........................................................................................
Registration Date ...........................................................................................

Accommodation Details.

Accommodation Required: Bunk room          Bed & Breakfast          None
Room Required: Single          Double            Twin          N/A
(Please note that during busy periods it may be necessary to place single participants in shared accommodation).

Payment Details.
Payment Method: Credit/Debit Card            Cheque Enclosed
Please contact me for payment options
Card Type: Switch      VISA      MasterCard       Access
 Delta         N/A       Electron
Card Number: ...........................................................................................
3-digit security code: ............................................................................................
Issue Date: ...........................................................................................
Expiry Date: ...........................................................................................
Switch Issue number (if given): ...........................................................................................
Deposit to be debited
(minimum of £50):		 £ ........................................................................................

Please detail any experience, if any, relevant to your course.

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Please inform us of any medical history which may be relevant to your course. Alternatively, feel free to telephone us in confidence.

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BOOKING CONDITIONS:
• I understand that my deposit is non-refundable.
• Should I withdraw my booking within 28 days of the course start date, for whatever reason, I shall be liable for the full course fee. If, however, my space is filled, I may receive a refund less the deposit paid.
• Alterations to booking dates made before the 28 day period cannot be guaranteed.
• I understand that should the minimum course ratio not be met and the course cancelled I will be offered alternative dates or a full refund.
• I understand that SPA and ML courses must run at the ratio set out by the MLTUK. Should this not be met I shall be offered an alternative date or receive a full refund. I understand that this cancellation may be at short notice.
• I understand that should I require personal accident and cancellation insurance, which is highly recommended, I shall arrange the same.
• HIGHLANDER MOUNTAINEERING is under no liability whatsoever in respect of any personal loss or injury that I or others named above may sustain.
• I agree to abide by any decisions made by HIGHLANDER MOUNTAINEERING as regards the safety of course participants.
• I am aware that the weather plays an important factor in outdoor activities, and agree to any change to the course programme that is prompted by the prevailing weather conditions.
• I am aware that my course will contain an element of risk.
• I am physically fit for the course I have chosen.

Signed: .........................................................            Date: ...............................

When you submit the form you fully agree to the booking conditions listed above. Do not submit the form if you disagree with any part of the booking conditions. The form must be submitted by parent or guardian if participant is under 18 years of age.
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