Relax, Enjoy, Discover...... 

Name for Badge:     __________________________________________

Do you require a Lamble Tour Travel Bag:                Yes           No   

Passport Number:   ______________________   

Date of Passport Issue:    _________________     Expiry Date:    _________________

Date of Birth:        _______________       [Note:   Please attach copy of passport]

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Nationality:            ________________________

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Accommodation Required: (Please circle)              Ground Floor:          Yes           No

          Single               Double              Twin            Willing To Twin Share​

Name of person (if applicable) sharing accommodation:-

___________________________________________________________________

DEPOSIT:

$500 per person to secure Booking. Cheques made payable to: ‘Lamble Tours’, C/- P.O. Box 230 Emerald Vic. 3782

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Direct Deposit:    ANZ BSB No. 013623 Acct. No. 109287922

EFTPOS NOW AVAILABLE

Given Name: (as ID)    ___________________

Date of Birth:          ________________

Address: (please advise if postal different)

__________________________________

____________________________________________________________________

E-mail address: ______________________

Home: _____________________________

Mobile Number: ______________________

Emergency Contact Name & Phone Number:

[Relative/Friend] – Please provide one or more:

__________________________________

Ph.: _______________________________

Relationship to Emergency Contact:

_________________________________

Special Requests including Dietary Needs:

Diet/Allergies/Gluten Free/Vegetarian/Coeliac

________________________________________

__________________________________

__________________________________

Any Celebrations on Tour (e.g. Birthday, Anniversary)

(Date of Celebration): ___________________

Do you have a Walker? Yes:         No:

24hr Emergency Ph.: _________________

I give Lamble Tours permission to use photographs, which I may be in, for any advertising purposes for their tours:-

SIGN: __________________________________                DATE: _____________

I have read, understood and accepted the Terms & Conditions:

            YES                                           NO      

Lamble Tours has offered to organise travel insurance

          YES

I have declined Lamble Tours offer for Travel Insurance and will source independently.

            YES                                           NO      

I declare that the information given is true and correct and in the event of a change, I will notify Lamble Tours to advise anything that may affect my booking.

NAME:              _________________________________________________________

SIGNATURE:    ________________________________        DATE:   _________________