Tagalong Tours of Australia Booking Form

Your Name:

Your Address:
Suburb/City:
State:
Post Code:
Phone:
Mobile:
Email:
Emergency Contact Person:
Email Address:
Tour Details
Which Tour:
Tour Date:
Participants Information
Driver 1 Name: Licence: DOB:
Driver 2 Name: Licence: DOB:
Passenger 1 Name : DOB:
Passenger 2 Name : DOB:
Passenger 3 Name : DOB:
Passenger 4 Name : DOB:
Medical Details

Do any of the above have any special medical conditions/medications that we need to be aware of in case of emergency?

If so, please state:
Vehicle Information
Make:
Model:
Colour:
Registration:
Fuel Type:
Total Fuel Capacity (L):
Accessories Fitted:

Trailer
Roof Rack
Diff Locks

Hand Winch
UHF Radio
Cargo Barrier 		Electric Winch
Auxiliary Battery System
Heavy Duty Suspension
4WD Experience & Ability:
 Nil Limited Average Experienced

List any certified skills, or
competencies that you currently
have that will be relevant to the tour:

Eg: First Aid, Bush mechanic skills.

 

Confirmation is made when Booking Form and Deposit of $500 have been receipted. Balance must be paid at least 30 days prior to the tour departure date.

By ticking this box you accept the Terms and Conditions including the release of liability, indemnities and warranty of authority set out in those Terms and Conditions.

   

Thank you for taking the time to make a booking with Tagalong Tours of Australia.

Your submission will be responded to promptly.

 
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