Booking Form - France

BO OOKING G FOR F RM M

GR RAN ND D FRA F ANCE E

GRAND FRANCE PASSENGER 1 PERSONAL DETAILS Title Mr Mrs Ms Miss Dr First Name (as per passport) Middle Name (as per passport) Surname (as per passport)

Preferred name for name badge Address

Suburb

State

Home Ph

Work Ph

Mob

Fax

P’code

Email Traveling with (passenger 2) Are you traveling with others? If so, please advise names:

EMERGENCY CONTACT Name Relationship Home Ph

Mob

Email EMIRATES TRAVEL CLASS (please tick one)

Economy

Mixed class Business TRAVELING FROM

First

Sydney

Adelaide

(please tick one)

Brisbane

Perth Other Qantas Frequent Flyer Number:

Melbourne

Emirates Skywards Number: Cruise for Mates - FRANCE

PREFERRED FLIGHT SEATING Please Circle Your Preferred Seat For Flights

A B C

<Window>

<aisle>

D

E

F

G

<aisle>

H

J

K

<Window>

MEAL REQUEST

Diabetic Vegetarian With dairy

Gluten Free Vegetarian Without dairy

Low fat Allergy (details)

Hallal

MEDICAL Pre-existing medical conditions – please advise of any medical conditions we should be aware of (eg diabetes insulin dependent/non-insulin dependent; celiac; sleep apnea; heart condition:

CRUISE CABINS Cabins can be upgraded if required. Please refer below for details and costs, based on per person, twin share. All upgraded staterooms below have a French balcony.

CAT B Avalon Deluxe Stateroom – Sapphire Deck $1098 Aft CAT A Avalon Deluxe Stateroom– Sapphire Deck $1198 Forward CAT P Avalon Stateroom – Royal Deck $1498 Royal Suite Avalon Royal Suite $2598 Cruise Cabin (please tick)

Double

Twin

Single

PRE AND POST CRUISE ADDITIONAL ARRANGEMENTS

A PHOTOCOPY OF YOUR PASSPORT (even if expired) IS REQUIRED TO ACCOMPANY THIS FORM TOGETHER WITH THE DEPOSIT. I, …………………………………, understand that Janelle Bloom, Manu Feildel and Alastair McLeod are hosting Cruise for Mates – France, and will be onboard for a minimum of 7 nights. The exception to this would be due to a personal/family or business emergency or unforeseen circumstance outside of their control which would prohibit them travelling.

I have read and agree to the Terms and Conditions.

I declare the information is correct and the passport names are correct. I also understand that any name changes may incur penalties and/or loss of airfare.

I understand the following cancellation fees apply to these exclusive charter conditions: The required deposit of $ 1500 per person is Non Refundable. Regards EARLYBIRD Airfares paid by 28 NOV 2012 - if cancelled prior to tour, a cancellation fee of $ 500 per person is payable.

Final balance is to be PAID by 15 March 2013 - if cancelled after 15 March, ALL payments are non-refundable.

I agree it is my responsibility to ensure I am fully covered for travel insurance.

Signed…………………………………………………………….Date…………………………………………………

Deposit of $1500 per person plus travel insurance payment due within 7 days.

Bank details are on the How to Book form.

PLEASE FAX, SCAN AND EMAIL, OR POST THE COMPLETED FORM TO: CRUISE FOR MATES, HARVEY WORLD TRAVEL GARDEN CITY Shop 1019, Garden City Shopping Centre, Kessels Road, Upper Mount Gravatt, Brisbane Q 4122 PO Box 6304, Upper Mt Gravatt. Q 4122 Tel: 07 3343 5422

Fax: 07 3849 5770

Email: mates.gardencity@harveyworld.com.au ABN: 77 094 188 100

License No: TAG 1718

Cruise for Mates – France

GRAND FRANCE PASSENGER 2 PERSONAL DETAILS Title Mr Mrs Ms Miss Dr First Name (as per passport) Middle Name (as per passport) Surname (as per passport)

Preferred name for name badge Address

Suburb

State

Home Ph

Work Ph

Mob

Fax

Pâ&#x20AC;&#x2122;code

Email Traveling with (passenger 2) Are you traveling with others? If so, please advise names:

EMERGENCY CONTACT Name Relationship Home Ph

Mob

Email EMIRATES TRAVEL CLASS (please tick one)

Economy

Mixed class Business TRAVELING FROM

First

Sydney

Adelaide

(please tick one)

Brisbane

Perth Other Qantas Frequent Flyer Number:

Melbourne

Emirates Skywards Number: Cruise for Mates - FRANCE

PREFERRED FLIGHT SEATING Please Circle Your Preferred Seat For Flights

A B C

<Window>

<aisle>

D

E

F

G

<aisle>

H

J

K

<Window>

MEAL REQUEST

Diabetic Vegetarian With dairy

Gluten Free Vegetarian Without dairy

Low fat Allergy (details)

Hallal

MEDICAL Pre-existing medical conditions – please advise of any medical conditions we should be aware of (eg diabetes insulin dependent/non-insulin dependent; celiac; sleep apnoea; heart condition:

CRUISE CABINS Cabins can be upgraded if required. Please refer below for details and costs, based on per person, twin share. All upgraded staterooms below have a French balcony.

CAT B Avalon Deluxe Stateroom – Sapphire Deck $1098 Aft CAT A Avalon Deluxe Stateroom– Sapphire Deck $1198 Forward CAT P Avalon Stateroom – Royal Deck $1498 Royal Suite Avalon Royal Suite $2598 Cruise Cabin (please tick)

Double

Twin

Single

PRE AND POST CRUISE ADDITIONAL ARRANGEMENTS

Cruise for Mates – France

A PHOTOCOPY OF YOUR PASSPORT (even if expired) IS REQUIRED TO ACCOMPANY THIS FORM TOGETHER WITH THE DEPOSIT. I, …………………………………, understand that Janelle Bloom, Manu Feildel and Alastair McLeod are hosting Cruise for Mates – France, and will be onboard for a minimum of 7 nights. The exception to this would be due to a personal/family or business emergency or unforeseen circumstance outside of their control which would prohibit them travelling.

I have read and agree to the Terms and Conditions.

I declare the information is correct and the passport names are correct. I also understand that any name changes may incur penalties and/or loss of airfare.

I understand the following cancellation fees apply to these exclusive charter conditions: The required deposit of $ 1500 per person is Non Refundable. Regards EARLYBIRD Airfares paid by 28 NOV 2012 - if cancelled prior to tour, a cancellation fee of $ 500 per person is payable.

Final balance is to be PAID by 15 March 2013 - if cancelled after 15 March, ALL payments are non-refundable.

I agree it is my responsibility to ensure I am fully covered for travel insurance.

Signed…………………………………………………………….Date…………………………………………………

Deposit of $1500 per person plus travel insurance payment due within 7 days.

Bank details are on the How to Book form.

PLEASE FAX, SCAN AND EMAIL, OR POST THE COMPLETED FORM TO: CRUISE FOR MATES, HARVEY WORLD TRAVEL GARDEN CITY Shop 1019, Garden City Shopping Centre, Kessels Road, Upper Mount Gravatt, Brisbane Q 4122 PO Box 6304, Upper Mt Gravatt. Q 4122 Tel: 07 3343 5422

Fax: 07 3849 5770

Email: mates.gardencity@harveyworld.com.au ABN: 77 094 188 100

License No: TAG 1718

Cruise for Mates – France