STEP
1
Contact Details |
| First name: |
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Last name: |
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| Gender: |
Male
Female |
Business Ph: |
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| Home Ph: |
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Mobile: |
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| Correspondence Details |
| Email Address: |
* |
please re-enter your Email Address: |
* |
| Street/Postal address: |
|
Email preferred
Post preferred |
| City: |
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State/Province Postcode / Zip: |
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| Country: |
|
STEP
2
Walk Details |
| Number of participants in group: |
|
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STEP
3
Accommodation |
| Select type of accommodation: |
|
Double (included in tour price) |
|
Twin Share (included in tour price) |
|
Single Room (extra payment) |
STEP
4
Walk Dates |
| Please select your preferred start date below: |
Start date:
|
Select month:
|
Select year:
|
| If the preferred start date is unavailable what
other start date/s would be suitable: |
Start date:
|
Select month:
|
Select year:
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STEP
5
Arrival Method |
| Arrival method & approximate time: |
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How did you hear about
Surf Coast Walks? please select |
|
STEP
7
Booking Conditions |
|
I have read and agree to Surf Coast
Walks Booking Conditions |
STEP
8
Deposit |
| A deposit of $200 per person or the full amount
if less than $200, is required at time of confirmation. The balance
is payable one month prior to the start of the walk. Once we have
received this form, we will contact you with a Booking Confirmation
and payment details. |
|
I will pay by Pay Pal |
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I will pay by Credit Card |
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I will pay by Money order (AUS Dollars only) |
|
I will pay by direct deposit into Surf Coast Walks
bank account |
STEP
9
Comments |
| Please enter your comments/questions in the space
provided below: |
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