Tour Registration Form

Before beginning this form please make sure you have at least ONE of the following documents:

a scanned copy of the traveller's valid passport
a scanned copy of the traveller's expired passport
a scanned copy of the traveller's birth certificate or other form of ID such as a driver's licence

You MUST complete one form for each person wishing to join the tour.

Be sure to also read our Tour Terms and Conditions before submitting this form.

Should you have any issues filling out this form please call us on +61 3 94656166 during AEST business hours and we'll be happy to help.

Please complete the following and submit. You will then be asked to email your scanned documentation directly to Shaun Brown:

First Name *

Exactly as appears on passport/documentation.

Middle Name *

Exactly as appears on passport/documentation. Use N/A if you do not have a middle name.

Last Name *

Exactly as appears on passport/documentation.

Name Of Tour *

Gender of Traveller *

Traveller's Date of Birth *

Day

Month

Year

Rooming

Please select ONLY if your quote has different prices based on rooming configuration.

Traveller is a *

Family Members

Names of any family members also applying. Please only fill out this section if a member of your family is also applying and you want to be invoiced for your tour together.

Address *

Country *

Address *

Address 2

City/Suburb *

State *

Postcode *

Primary Contact Number *

Secondary Contact Number

Email *

Primary email address to be used for invoices and tour correspondence.

Frequent Flyer Airline

e.g. Qantas, Virgin, etc

Frequent Flyer Number

Please note that this frequent flyer number must belong to the traveller and not a family member.

Dietary Requirements

Please note that airlines can only cater to standard dietary requirements and may not be able to provide a specific meal for your dietary or medical requirements.

Medical Conditions

Medical condition(s) that should be made known to tour leaders. e.g. any severe allergies, illnesses and details of any medications taken on a regular basis.

Emergency Contact Details

Name of Emergency Contact Person that will be remaining Australia.

Emergency First Name *

Emergency Last Name *

Emergency Relationship *

What is your relationship to the traveller? e.g. Father, Mother etc

Emergency Phone *

What is the phone number of your emergency contact?

Emergency Email

What is the email address of your emergency contact?

Travel Insurance Provider

Name of your travel insurance provider.

Travel Insurance Policy Number

Passport & Visa Details

City of Birth *

Nationality/Country of Citizenship *

Country of Birth *

TERMS AND CONDITIONS

Click here to read our terms and conditions.

I accept terms and conditions *

Submit

Upon clicking the submit button below, you will be asked to email Shaun directly with your scanned documentation.

Leave this field blank

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