Booking Form

First name *

Last name *

Title Title

Preferred Name

Email *

Address *

Address

City

Region

Post Code

Country

Mobile or day-time phone number *

Occupation

Please state which sports event or holiday you are wishing to book including the date *

Any dietary requirements? *

Yes - please give details

No

Dietary requirement details

Emergency Contact Name *

Emergency Contact number *

Sports / Activity Club you belong to

Age at time of travel

I would prefer a Single Room, and am happy to pay the Single Supplement *

Yes

No

Please book Domestic flights in conjunction with Tour arrangements *

Yes

No thank you

Frequent Flyer Number / Seating preference

We would like to book additional nights pre or post tour

Yes

No thank you

Extend or add other arrangements to your tour

Yes - please email us

No thank you

I have read the Wildside Travel booking terms and conditions for the Tour and accept them. *

I accept the terms and conditions

I have read the Travel Managers Group booking terms and conditions and accept them. *

Signature

Date

How would you like to pay?

Bank Transfer - ASB 12-3209-0116403-16 Reference: Surname/Wildside

Credit Card - Please phone us for card payment, a 2% surcharge will apply

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