I/We apply to Mercia Tours for   ….  reserved place(s) on  the above tour.

I/ We confirm that we have received a copy of your Terms and Conditions and understand that my/our booking will be subject to those Terms and Conditions.

I/We have the following special requirements (E.g. special dietary needs; single room or willingness to share)

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Signature(s) (Please include ALL persons listed above)


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Date: ...../...../.....

I/We enclose a cheque, payable to 'Mercia Tours', for the sum of  £.........

Please send  to: Mercia Tours, 5, Arrow Drive, Albrighton, Wolverhampton, WV7 3PF