SURNAME

FIRST NAME

ADDRESS

CITY

POSTCODE

COUNTRY

TELEPHONE

CELL

FAX

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PLEASE BOOK ME FOR

DATE

TERMS AND CONDITIONS

PAYMENT TO BE MADE IN FULL AT LEAST 2 WEEKS PRIOR TO THE COMMENCEMENT OF THE TRAIL

PAYMENTS TO BE MADE TO

ABSA BANK – CLAREMONT

ACCOUNT NAME        J H FOSTER

ACCOUNT NUMBER  010 57410 775

ACCOUNT CODE         421 109

PLEASE FAX THE DEPOSIT SLIP TO +0027 (021) 7031417

HOURLY RIDES PAYMENTS

WILL BE ACCEPTED AT THE VENUE BEFORE THE COMMENCEMENT OF THE RIDE

I HAVE READ AND ACCEPT THE ABOVE TERMS AND CONDITIONS