Sea Scoot 2007

 

With Bill Larson & Chris Watson

 

Booking Form

 

Room Type: _____________________________________________

Full Names & Date of birth as per passport:

 

Passenger 1: ________________________________________________________

 

Passenger 2:_________________________________________________________

 

Passenger 3: ________________________________________________________

 

Passenger 4: ________________________________________________________

 

Contact Address for your room ( 1 Address per room please all your documents will be sent to this address approximately 14 days prior to cruise departure)

__________________________________________________________________

 

__________________________________________________________________

 

__________________________________________________________________

 

Dietary Needs or medication Please list passenger name then needs:

__________________________________________________________________

 

__________________________________________________________________

 

__________________________________________________________________

 

Contact Phone Number: _____________________________________________

 

Contact Email Address: _____________________________________________

 

Signatures and dates:

 

 

Passenger 1 Passenger 2

 

 

Passenger 3 Passenger 4

 

Please Fax to (02) 676623 81 or mail to Shop 17 Fitzroy St, Tamworth NSW 2340

 

Received From: Bill Larson Group