BOOKING FORM

If you wish to make a booking, please contact the office to check availability on 1800 642 420.
If available, please complete this booking form and return with your deposit.
You can email the form to admin@makehamscoaches.com.au or mail it to
Makehams Coaches, P.O Box 8683 Kooringal NSW 265

Name of Tour You Are Booking:

Person 1:

Full Name:

Address:

Phone:

Mobile:

Email:
Name(s) you wish to be known as:

Do you have one of our name badges: YesNo

Passport Number (International travel only. Inc. Norfolk Is.):

Person 2: (if applicable)

Full Name:

Address:

Phone:

Mobile:

Email:
Name(s) you wish to be known as:

Do you have one of our name badges: YesNo

Passport Number (Norfolk Is. Tour Only):

Room type: (please tick): Double (1 bed)Twin (2 beds)Single

Who you wish to share with:

Medical Information or Special requirements (please advise if you have any medical
conditions including dietary, disability or other need we should be aware of)

Person 1

Person 2

Emergency contact information: In case of emergency on tour who should we contact?

Person 1

Person 2

I have read and understood the booking conditions as detailed on the itinerary.

I have enclose the deposit required per person. If tour cancel’s Makehams Coaches will refund any money WE get back from attractions / accommodation etc.

Name (1):

Signature :

Date:

Name (2):

Signature :

Date: