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  - Further North QLD Tour 2020 (with Diamantina add on)
  - SA – St Vinnies Gulf loop 2020
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Booking form

THANK YOU FOR YOUR PAYMENT.

Please take a moment to fill out the form below to complete your booking.

BOOKING FORM

Step 1 of 8 - Tour Details

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Which tour are your booking for?*
- South Australia - St Vinnies Gulf Loop - 2020
- North Queensland - Further North Tour 2020
- 2021 Even Further North Queensland
- 2021 Middle to Mountains QLD
- 2021 SA Coast to Coast. Sea, River See Valley!
Number of people in your vehicle:*
How many people will be coming?

Roadie #1
Name (as on passport)
First Last
Preferred Name
Date of Birth
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Email
Phone
Roadie #2
Name (as on passport)
First Last
Preferred Name
Date of Birth
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Email
Phone
Roadie #3
Name (as on passport)
First Last
Preferred Name
Date of Birth
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Email
Phone
Roadie #4
Name (as on passport)
First Last
Preferred Name
Date of Birth
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Email
Phone

Accommodation Type
- Caravan
- Campervan
- Camper Trailer
- Tent
- Motorhome
Power preference (powered sites will incur an extra fee)
*power not guaranteed at all sites
- 10 amp
- 15amp
- Unpowered
Vehicle registration
Caravan/camper registration
Length of vehicle/caravan (not inc bar)
Height of vehicle/caravan

Do you have any food allergies?
- none
- Gluten
- Dairy
- Seafood
- Peanut
Do you have any pre-existing medical conditions?

Favorite songs
Do you have any favourite Beccy Cole songs? Please list up to 4
1.
2.
3.
4.

Emergency Contact
First Last
Emergency contact Phone
Emergency contact Email

Payment Details
Please select you payment method
*credit card transactions incur a 1.4% surcharge
- Payment in full - *Credit card
- Payment in full - EFT Transfer
- Payment by installments - *Credit card
- Payment by installments - EFT Transfer

Your Name*
First Last
Todays Date*
Additional Comments
Got any extra questions or comments? Ask us here!
Confirm*
- By ticking this box, you confirm that all persons mentioned on this form have either a level of fitness that allows them to take part in this tour without assistance, or a care person willing to assist. I/We understand that we are responsible for our own vehicle/accommodation and all costs associated (including fuel) Signed
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