REGISTRATION FORM

Registration form

Registration form

First Name
Middle 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
Full Name
Phone
Email
Please advise us if you would like us to call you to discuss.
Complimentary uni-sex travel shirt.
Do you require assistance booking flights ($50 booking fee/flight)?
Do you require assistance booking flights ($50 booking fee/flight)?
Do you require assistance purchasing travel insurance ($50 booking fee/traveller)?
Accommodation is twin share. Single rooms/tents are available upon request at an additional charge of between $200 - $300pp.
Upon receipt of your registration form, we will send you an invoice that includes payment options and directions for payment.
Our Terms & Conditions can be found below.