Challenges Booking Form (Cheque)

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Personal Details -

Title *

First Name *

Last Name *

Company

Address Line 1

Address Line 2

Town

County

Postcode

Landline Tel No.*

Mobile Tel No.*

Email Address*

Your chosen Charity

How did you hear about us?

Booking Information

Challenge -

Choose your Open Challenge*

Number of people in group*

Admin -

Comments

Please add VAT to all course costs. Make cheques payable to "Expedition Wise Ltd" and send to: Expedition Wise Ltd, Unit 4 Plas Pentwyn, Coedpoeth, Wrexham. LL11 3NU. Remember to add your name and course date to the rear of the cheque.

If you wish to pay by BACS, please write "BACS" in the comments box below. Our BACS details are: Sort Code: 72-00-06; Account Number: 53618484. Please remember to put your name as an identifier on the BACS payment.

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