Please print booking from, complete and send with deposit to Lifestyle Travel & Cruise Centre.

Name of the tour you wish to book: ____________________________________________

Date of departure: _________________________ Return Date: ______________________

Please print your name exactly as it appears in your passport.

Title: _______ Full Name: ____________________________________________________

Address: __________________________________________________________________

__________________________________________________________________________

Phone (Home) ___________________ Phone (Work) ______________________________

Mobile Phone ___________________ Email _____________________________________

Accommodation: Twin Share or Single Room? ___________________________________

Meals: Any meal preferences? ________________________________________________

Do you have a pre-existing medical condition? ___________________________________

Do you have any other requirements? __________________________________________

Are you travelling on an Australian Passport? If not please specify: __________________

Are you taking out Travel Insurance? ___________________________________________

Next of Kin: Name: _________________________Phone:__________________________

Address:__________________________________________________________________

Please sign booking form:

I have read, understand and accept all terms and conditions for making my travel arrangements with Lifestyle Travel Centre & Cruise Centre TERMS

Name: _______________________ Date: ___________Signature: __________________

Payment

A deposit of $500 is required to confirm your space on the tour. We accept cheques or cash. You can also transfer your money directly into our account. Please call us for details. If you pay by credit card please add 2.2% non-cash administration fee to the amount you are paying. We accept all major credit cards.

Are you making a deposit, full payment, down payment or other? __________________

If "other" please specify: ___________________________________________________

Amount of payment: $____________________

Method of Payment: _____________________

If paying by Cheque: Please make cheque payable to Lifestyle Travel & Cruise Centre

If paying by Credit Card:

Name of Card Holder: ______________________________________________________

Card Number: _______________________________________Expiry Date: ___________

I authorise Lifestyle Travel & Cruise Centre to charge $ _____________ to my credit card

being payment for: _________________________________________________________

Signature of Card Holder: _______________________________Date: ________________

You need to send us a copy of the front and back side of your credit card.