| Name: |
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| Address: |
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| Occupation: |
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| Telephone: |
Home:
Work:
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| Fax: |
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| Mobile: |
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| Email address: |
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| Holiday type: |
Big on Bass
Manning River - Dingo Creek Cottage
Special Trips
The Old Riverhouse
Macleay Homestead
Cape York |
Departure dates requested
(Cape York only) |
From:
To:
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| Names of the people booking trip |
1.
2.
3.
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Medical conditions or other special requirements: |
| Travel Insurance: |
I do intend to take Comprehensive Travel Insurance |
| Total per person: |
$AUD
(please contact us for full costings) |
| Deposit per person (25% due 7 days from booking): |
$AUD
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| Balance owing per person (due on arrival): |
$AUD
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I have read, understand and accept the booking conditions and attach my deposit payable to "Manning Valley Fishing Adventures" |
Other Information: |
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