Reservation Form

Submit the below form to request your booking.

Booking Form - General

Event Name

Departure City

Preferred Hotel

Room Type

Ticket Type

Date In

Date Out

Number of Nights

Additional Information

Enter extra information if you have further requirements

Passenger Details (As Per Passport)

Pax 1 (required)

Title

First Name

Last Name

Pax 2

Title

First Name

Last Name

Pax 3

Title

First Name

Last Name

Pax 4

Title

First Name

Last Name

Contact Details for this Booking

Contact Name

Travel Agency (if applicable)

Phone Number

Postal Address - Line 1

Postal Address - Line 2

City

State

Postal / Zip Code

Country

Payment Details

Payment Method

For the amount of

Direct Deposit: Bank - Macquarie BSB - 183-334 Account - 1200 720 79 Ref - Invoice No
Credit Card Charges: Merchant fees as per issuer
PaymentGate Code: PREMSPOR
MintEFT: M698232

Declaration
On behalf of the persons named above I have read and understood, and by submitting this reservation form I accept the "Tour Conditions" as printed below. I accept the tour costs are based on airfares, other components and rates of exchange in force at the time of printing and that they are subject to variation. I undertake to maintain contact with my booking source to ensure awareness of any variations to tour costs and arrangements.

I have read and agree to the Terms and Conditions

Verification

Reservation Form

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