Bhutan 2016 Booking Form

Bhutan Photo Tour 2016 Booking Form
Important Information
Names shown on this booking form are used for ticketing purposes, therefore names must apear exactly as per your passport.

Any errors in names will incur ticket reissue fees which are at passengers own expense.
Participant Details
Full Name*
Date of birth*

MonthDayYear
Email*
Mobile*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Qantas Frequent Flyer
Travel Ins. Provider
Policy No.
Where did you hear about us?
Keep me updatedNo thank you
Medical History
YesNo
If yes, please provide details: (E.g Asthma, heart condition etc...)
YesNo
If yes, please price details: (Elg. ventolin)
Emergency Contact Details
Name*
Mobile*
Relationship*
Payment Information
Cost US$9,987 per person

Once you have completed the form you may then contact our tour operator. Kris from Helloworld has organised the whole trip and she will be handleing the bookings. Kris will be in touch shortly after your booking form has been subitted or you may like to contact her using the information below. Kris can only give you information regarding bookings and travel information.

For all information regarding the tour, please contact us directly.

Kris: 02 4334 3400
Danny: 0410407253
info@dannyirvine.com.au
Tick Box
Tick Box
Should be Empty:

Important Information