London City Break Booking Form

You are booking for London City Break Commencing 25th January.

Membership Number, If you are not a member please type non (required)

How many Places would you like to book?

Names of all People Travelling. Please note that the First Name listed will be Lead. (required)

I wish to get the coach at: Please be aware the departure points are Herne Bay, New Dover Road Park and Ride or Medway Services - London Bound Side. FOR MEDWAY SERVICES Please provide the make and registration number of the vehicle that you will be using. (required)

Please Note:
Departure Times Are:
Herne Bay 11am
New Dover Road Park and Ride 11.30am
Medway (Depart) 12.30pm

Please state how many of the types of rooms are required
Double

Twin Bedded

Single

Please advise of any special requirements (diet, rooms, etc)

Name and E-mail address of the person making this booking:

Name (required)

Email (required)

Please enter your mobile number (if no mobile please enter landline number) (required)

Once the form has been submitted you will be advised about payment. If you do not receive the automated response within 24 hours please call the Chairman on 07842 124094 or send an email to treasurer@silverphoenixtc.com