Registration for the Barcelona trip, 29 Sep - 2 Oct 2005
Please answer all questions for ALL applicants. and send to Andreas Kolattek,
andreas@citiskate.co.uk
1. Are you interested in the June or October trip (or both)?
2. *Your full name, and title (Mr/Ms/Mrs)
3. *Email address for registration and future correspondence
4. *Date.of Birth (DD/MM/YY).
5. *Home address and postcode (USE A SINGLE LINE FOR YOUR WHOLE ADDRESS PLEASE)
6. *Contact numbers. Essential- H 020 XXXX XXXX ETC, all of mobile/home/work if possible (Use a single line)
7. Emergency contact number and state realtionship (father/mother/friend etc)
8.
How did you hear about the trip?
9.
T shirt size and any special requirements / questions
10.
Preferred method of payment: cheque, bank transfer, debit
or credit card - we require a deposit within 10 days
11.
Outline of your chosen trip,
e.g. 2 people 2 beds,
2 people one double bed etc,
We make no assumptions about sleeping requirements so please be specific!
You will receive confirmation and details of how to pay. Your deposit will be due in 10 days
Thanks!
Andreas Kolattek
Citiskate London
L25, The Old Lab
Fax +44 (0)20 7731 4499