Extedned Tours Booking Form

YOUR DETAILS

Number of People Booking for*

Is this an agent booking

Yes
No

Agent Name and Details

Name*

First Last

Date of Birth*

DD

MM

YYYY

Phone Number*

Email*

Address*

Street Address City ZIP / Postal Code

Name of Companion(s)

Please add the FULL NAME of each other person you are booking for (one per line). You will still remain the primary point of contact for all correspondence.

NEXT OF KIN

Name

First Last

Phone

Relationship to you

TOUR DETAILS

Name of Tour*

Date of Tour

DD

MM

YYYY

Room Type*

Please note: if opting for a 'Looking to Share' room, we will do our best to partner you with someone we believe will be a right fit for you. If we are unable to find a sharing partner, then a single supplement charge will come into effect.

Rooming Comments

Please list any necessary additional requirements you may desire in you room, and we will do our best to see to this.

Is this booking for an International Tour?

No
Yes

Passport Details

Please enter the passport details for EACH person you are booking for.

ABOUT YOU

Can you climb stairs?

Yes
No

Can you do so with assistance?

Do you require the use of a walker?

Yes
No

Will you be bringing one on tour?

Do you suffer from any disabilities that we would need to know about for tour?

Yes
No

Please specify

Do you have any special dietary requirements you would need us to adhere to?

Yes
No

Please specify

CONDITIONS OF TOUR

Do you understand that we require all our travellers to be mobile enough to navigate bus/coach steps unassisted?*

Yes
No

Do you understand that it is the responsibility of each traveler to be responsible for their own piece(s) of luggage. We recommend to pack light accordingly.*

Yes
No

I have made myself familiar with the terms and conditions of travel.*

Yes
No

These can be found here https://www.tourlocal.com.au/terms-and-conditions/

PAYMENT DETAILS

Method of Payment*

No Payment
Credit Card
Bank Deposit
Cash in Office

Amount to Pay*

Please enter the amount you wish to pay today

Transaction Fee*

Price: $ 0.00

Total

$ 0.00

Credit Card*

Card Details

Cardholder Name

Account Name: Tour Local BSB: 033636 Account No.: 238103 Ref: Your name + Tour Name + Start Date of Travel

Please contact our office (5941 8800) to arrange a time to make payment. We do not accept walk-ins.

Comments