Passenger Information Form (Tasmania Retreat)

Please let us know more about yourself.

Please complete the passenger information below for solo or senior travel tours.

Name of Tour*
Departure Date*

Day
Month
Year
Passenger Name*
Prefix First Last
Preferred Name
Passenger Date of Birth*

Day
Month
Year
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mobile Phone Number*
Email Address*
Additional requirements/requests/dietary needs*
Medical Information*
Please list any allergies, preexisting conditions, or mobility requirements you may have.
Travel Insurance*
- Please send me a quote
- I will arrange my own and provide details Second Choice
Travel Insurance is mandatory for all bookings and policy details must be advised before travel documents will be released.
Emergency Contact Name*
Prefix First Last
Details must be of a person who is NOT travelling with passenger
Emergency Contact Relationship:*
Emergency Contact Phone Number*
Emergency Contact Email*
Acceptance of the booking terms and conditions*
I have read, fully understand and accept the terms and conditions of booking.: *
https://tasmaniatours.com.au/terms-conditions/
Booking Request Deposit Payment*
I agree that my reservation is subject to terms of trade, booking conditions and schedule of service fees. I am paying a non refundable deposit of $800
https://tasmaniatours.com.au/wp-content/uploads/sites/2/2024/12/SC-Terms.pdf

23084

Within Australia
1800 994 620

International
+61 7 4051 1120

National Sales Office
5/21-25 Lake Street
Cairns, QLD, 4870

Office Hours
9 AM to 5:00 PM
Monday to Saturday

Book Online
24 hours a day
7 days a week

Please do not book flights or accommodation until your booking is confirmed.