Booking Form . . .

Upon receipt of your completed booking form and payment for your voucher(s) you will be sent your flight voucher(s), information on how to schedule your flight and a map & directions on how to get to the prearranged meeting place.

We accept the following credit and debit cards:

.
Solo, Delta, EDC Maestro, JCB & Commercial

Please Read Our Terms and Conditions Before Placing Your Booking


Details of person purchasing the flight voucher

Title
Name   rqd
Address    rqd
Postcode   rqd
Country  rqd
Home Phone    rqd
Work Phone
Mobile Phone
E-mail   

Passenger's Information 

Title   
Name
Passenger Address  
Passenger Postcode
Passenger Country  
Passenger Home Phone  
Passenger Work Phone
Passenger Mobile
Passenger E-mail  
Weight     rqd
Age if over 60

Flight Date

Either:

Preferred Flight Date - Please indicate your preferred date for the flight

 

Open dated

Payment Details


No of hot air balloon flight vouchers
@ £125.00 =
Total Payable
=   rqd

Payment Method

Cheque Credit Card Debit Card 
Card Number   rqd
Expiry Date   rqd
Issue No (Debit Cards only) 

Additional Information 

Please include any additional info about this booking

How Did You Hear of Us ?
Tell us how you heard of us in your own words - please be as specific as possible



I confirm on behalf of all persons named on this booking form
that I have read and accept the Terms and Conditions contained
on this Web site:
  Yes No

If printing this form to post or fax, please sign & date below, thank you.

Name: ....................................................................................

Date: .........................................

Airtopia
Langford Barton
Ugborough
Devon
PL21 0PG, UK
Telephone: +44 (0) 1364 73969
Email: info@airtopia.co.uk