Booking Request Form

>> Booking Condition

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* Required information

*Branches

Sydney (NSW, ACT, NT. QLD, WA)

Melbourne (VIC, SA, TAS)

*Departure from

Adelaide	Brisbane	Cairns
Canberra	Melbourne	Sydney

Tour name

Others

*Departure date

/ /

Passenger 1

Passport name

*First Name

Middle Name

*Last Name

*Title

Date of birth

/ /

Nationality

Passport number

Valid until

/ /

*Address

*Contact tel

Home Work Mobile

*E-mail address

Can we contact you at work regarding this trip? Yes No

Emergency contact tel

Name

Relationship

Travel Insurance

Yes, please Arranging by myself

Passenger 2 Yes, I have Second passenger.

Passport name
Title
Date of birth		/ /
Nationality
Passport number
Valid until		/ /

Passenger 3 Yes, I have third passenger.

Passport name
Title
Date of birth		/ /
Nationality
Passport number
Valid until		/ /

Passenger 4 Yes, I have forth passenger.

Passport name
Title
Date of birth		/ /
Nationality
Passport number
Valid until		/ /

Frequent Flyer No.:


Flight Details	Yes, I would like to book for flights.

Date(DD/MM/YY)	From/To	Departure Time	Flight No.


Accommodation	Yes, I would like to book for accomodations.


Optional Tours Yes, I would like to book for Optional Tours.

Date(DD/MM/YY)	Place	Tour Name & Tour Code	No. of participants

Remarks

Declaration	I am over the age of 18 and confirm that I have read the Booking Condition and the general information including the cancellation policy.


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