Booking Form

We are delighted you are booking onto this expedition. Please fill out as many fields as possible and press send. We will chase you for information you haven’t got to hand so don’t worry if some fields are left blank although some fields are obligatory.

Personal Details
Please check all the details you provide below and ensure your name is spelt exactly as it appears in your passport. If any of the details given below are not accurate this may result in difficulties with flight tickets and/or relevant visas.
Title**

First Name**

As in passport
Middle Name(s)
Surname**
Preferred Name
D of B - dd/mm/yyyy**
DD slash MM slash YYYY
Place of Birth**
Nationality**

As in passport
Profession

Address
Address Line 1**
Address Line 2
Address Line 3
City**
State/Province/Region**
ZIP/Postal Code**

Contact Details
Home Telephone Number
Mobile Telephone Number**
Work Telephone Number
Email address**
Expedition Details

Expedition*
Expedition Date*

Previous Expedition Experience and your general fitness for the last 12 months

Flights

If your expedition has a cost that includes flights, 360 books these flights on your behalf from London. If you would like to buy your own flights or if you would like to depart from a regional UK airport please call the office to discuss and leave the below question blank. Please note that we do not offer flights with our European trips
Would you like to join the Expedition with flights?
- Yes
- No
Once flights have been booked any changes will be subject to a minimum £75 administration charge. Please also note that these changes are subject to flight availability and at the discretion of the airline who might equally add additional changes.

Late bookings are likely to incur additional charges due to flight availability being limited. This is payable by the client and agreed prior to 360 making the booking.

Would you like to set up a monthly payment plan?**
- Yes
- No
360 offers a payment plan which allows you to pay in monthly instalments. Would you like a monthly payment plan? If ticked yes we will arrange this with you directly.
Passport Details

Passport Number
Issue Date - dd/mm/yyyy
DD slash MM slash YYYY
Expiry Date - dd/mm/yyyy
DD slash MM slash YYYY

Medical Details

Height (cm)
Weight (kg)
Jacket size:

Please use this space to tell us of any medical problems that you may have now or had in the past. Please list any medical conditions, no matter how insignificant it may seem to you. This is important for your safety. Please do not leave this blank - put none if not applicable.
Please list the exact name of any medication that you take, including the appropriate dosage. Please do not leave this blank - put none if not applicable.
Please inform us of any special dietary requirements that you have. This should include any allergies and religious based eating requirements. Please do not include general likes and dislikes. Please do not leave this blank - put none if not applicable.
Next of Kin

Name of Next of Kin
Next of Kin Relationship
Next of Kin Contact Telephone Number

Next of Kin Address
Travel Insurance Details

Name of Insurer
Your Policy Number
Insurance Emergency Contact Number

If you have not yet purchased your travel insurance please leave these boxes blank.

We recommend True Traveller Insurance however you must ensure that this policy is suitable for your personal circumstances and expedition type before buying. Please read the policy document carefully and ensure it provides the cover you need www.truetraveller.com
And finally...
Additional notes: Please use this area to give us any additional notes such as if you are travelling with a friend or if you wish to talk over flight options.

Where did you head about 360*

Once booked we will circulate group emails with more information about your trip. Please tick here if you do not want us to openly include your contact details on these emails
- -
Before submitting

Please check and double-check that all details provided are correct. If any of the details given are not accurate this may result in difficulties with flight tickets and/or relevant visas. On receipt of this form one of the 360 team will be in touch with your invoice and further details to get your place fully secured.
Please click HERE to read our T&Cs and then tick below indicating that you have agreed and understood our Terms & Conditions*
Please click HERE to read our T&Cs and then tick below indicating that you have agreed and understood our Terms & Conditions
- *
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Email
This field is for validation purposes and should be left unchanged.

By clicking submit you will save a copy for your records.

Your financial Protection: All monies paid by you for the air holiday package shown are ATOL protected by the Civil Aviation Authority. Our ATOL number is 10132 For more information see our booking terms and conditions.

360 Expeditions is a registered Limited Company trading under the name
Three Sixty Degrees Expeditions Ltd (Company no. 06498880)

360 Expeditions, 10 Rookery Road, Wyboston, Bedfordshire MK44 3AX

Tel: 0207 1834 360 https://www.360-expeditions.com
[email protected]

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Booking Form

Personal Details

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Contact Details

Expedition Details

Flights

Passport Details

Medical Details

Next of Kin

Travel Insurance Details

And finally...

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