Booking Form
Call 02 9631 2689
* indicates a required field Title: Mr Mrs Ms Miss Master * Date of Birth: * First Name: * Surname: * Address: * Suburb: * Postcode State: NSW ACT QLD NT TAS WA VIC SA * Home Phone: Mobile Ph: * Email Address: Citizenship: Passport Number: Passport Issuing Authority: Issue Date: Expiry Date: Issued at: Emergency Contact: Dietary requirements/special needs: Tour/Cruise you would like to book: Consultant you spoke to: Charlie I haven't spoken to anyone
165 Dunmore Street, Wentworthville, NSW 2145 Licensed Travel Agent Lic. No: 2TA4425 A division of Felice Travel Pty Ltd ABN 71 073 235 408 Tel (02) 9631 2689, Fax (02) 9636 5949 Malta Travel © 2009