REGISTRATION FORM – CAMBODIA

Registration form - Cambodia

Registration form - Cambodia

First Name
Last Name
Nickname
Passport number
Nationality
Place of birth
Issue date (dd/mm/yyyy)
Expiry date (dd/mm/yyyy)
Date of birth (dd/mm/yyyy)
Phone
Email
Street
Suburb
State
Country
Postcode
Please advise us if you would like us to call you to discuss.
First Name
Last Name
Phone
Email
Complimentary yoga or travel shirt.
Yes (I need help booking)
Accommodation is twin share. Single rooms/tents are available upon request at an additional charge of $300pp.
Fundraising is not mandatory but it is recommended. All funds raised go to supporting the salaries of the teachers at the charity school we visit who currently do not get paid well. By supporting their salaries you will be empowering young Cambodian students by keeping them in school. You will also be enhancing your travel experience and feel great when you see the difference you have made. Tax deductibility is available if in Australia.
Upon receipt of your registration form, we will send you an invoice that includes payment options and directions for payment. Minimum deposit is 10% of total fee.
Our Terms & Conditions can be found below.