Reservation Enquiry Form

1. HOLIDAY DETAILS

Preferred tour start date:


Tour Options:


Room Details:


2. TRAVELLER'S DETAILS

Title
First Name
Last Name
D.O.B
Nationality
Passport No
Place of issue
Date of issue
Expiry date


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 4


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Street Address:


Suburb:


State: (If not in Australia, leave on "Choose").


Postcode:


Country:


Telephone Details: Country code:    Area code:


  B/H Number:


  A/H Number:


  Mob Number:


  Fax Number:


Email address:


3. TRAVEL DETAILS

Date of departure from home country:


   Arrival details for country in which your arrangements begin:

Date of arrival:


Flight number:


Other:


   Departure details for country in which your arrangements end:

Date of arrival:


Flight number:


Other:


Special requests:
(e.g. health information, dietary requests)
Please note: we will endeavour to secure special requests but
cannot always guarantee confirmation.


   Please indicate if travel agent will co-ordinate this booking:

Travel agent:


Contact person:


4. IN CASE OF EMERGENCY PLEASE CONTACT

Title:


First Name:


Last Name:


Relationship:


Street Address:


Suburb:


State: (If not in Australia, leave on "Choose").


Postcode:


Country:


Telephone Details: Country code:    Area code:


  B/H Number:


  A/H Number:


  Mob Number:


  Fax Number:


Email address:


5. PAYMENT AS PER INVOICE

   Payment per person as per invoice (price is inclusive of GST).

Number of travellers:


Total: $


   We will contact you to arrange payment.

6. CONFIRMATION AND SUBMISSION

I have read, understand and agree to the Terms & Conditions. I am a member of the party travelling above and confirm that I am authorised to accept the booking conditions on behalf of all other persons included in this booking.


Subject: