Wallaby Supporters Tour: Argentina 2022 Wallaby Supporters Tour: Argentina 2022 Booking Form PASSENGER ONE(Required)(as shown in your passport) MrDr.MissMr.Mrs.Ms.Prof.Rev. Preferred Title First Surname NATIONALITY(Required) PLACE OF BIRTH(Required) PASSPORT DATE OF ISSUE DD slash MM slash YYYY PASSPORT DATE OF EXPIRY DD slash MM slash YYYY PASSPORT NUMBER ISSUING COUNTRY DATE OF BIRTH(Required) DD slash MM slash YYYY SPECIAL REQUIREMENTS(Required)(dietary, medical conditions, etc) Is there a second person travelling on this booking?(Required) NO YES PASSENGER TWO(Required)(as shown in your passport) MrDr.MissMr.Mrs.Ms.Prof.Rev. Preferred Title First Surname NATIONALITY(Required) PLACE OF BIRTH(Required) PASSPORT DATE OF ISSUE DD slash MM slash YYYY PASSPORT DATE OF EXPIRY DD slash MM slash YYYY PASSPORT NUMBER ISSUING COUNTRY DATE OF BIRTH(Required) DD slash MM slash YYYY SPECIAL REQUIREMENTS(Required)(dietary, medical conditions, etc) Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Contact NumberEmail ACCOMMODATION REQUIRED(Required) TWIN SHARE (two beds per room) DOUBLE (one double bed per room) SINGLE (Additional cost available on request) If you wish to share a twin room with a person not listed on this form, please advise their full name if known. FLIGHT ARRANGEMENTS(Required) Flights as per tour package (economy class) Premium Economy* Business class* First class* Land only (no airfare required)** Note: *Airfare supplements applicable to premium economy, business or first class travel. Please contact your consultant for further information. **Land Only selection will result in a reduction from your tour cost of $1700.00 per person and will appear on your final tour invoice.Deviating pre/post tour package(Required)Note: A deviation fee of $100.00 per person applies to travel dates which differ from the set tour package. Airfares are also subject to fare increases due to seasonality surcharges/seat availability, as quoted by the airline at time of request. Fares will fluctuate until requests are booked and confirmed by the airline. Please complete your preference in the section below. NO YES DATE DEPARTING(Required) DD slash MM slash YYYY DEPARTURE CITY(Required) ARRIVAL CITY(Required) Travel Insurance(Required)(HIGHLY RECOMMENDED) NO, thank you YES, please more information General CommentsPlease forward Tour Invoice for: (Select option below)(Required)Reservations and Deposits: Initial Deposit - At time of booking: $750.00 per person (bookings will be made when deposit has been received in our office) Interim Payment - 6 months prior to departure: $1,500.00 per person Final Tour Payment - 2 months prior to departureSelect option2 X TOUR DEPOSIT ONLY (Twin Share)2 X TOUR DEPOSIT ONLY (Double Share)1 X TOUR DEPOSIT ONLY (Twin Share)1 X TOUR DEPOSIT ONLY (Single)2 x TOTAL TOUR COST (2 x Twin Share Total Tour Cost Separate invoices)2 x TOTAL TOUR COST (1 x Twin Share Total Tour Cost invoice)2 x TOTAL TOUR COST (1 x Double Total Tour Cost invoice)1 x TOTAL TOUR COST (1 x Single Total Tour Cost invoice)1 x TOTAL TOUR COST (1 x Twin Share Total Tour Cost invoice)CAPTCHA
