| ANY
QUESTIONS, DON'T HESITATE TO CALL 1300 880 835 OR 61 889 813833, 9
- 5 DAILY CST |
| As
an option to our booking form you can just fill in the form, then
print it out, sign it and then
Fax to Graeme at Northern Territory Tours and Travel - 08 89811777-
International 61 889811777 |
| Personal
Details: |
|
|
|
| Title/s: |
|
|
|
| Last Name/s: |
|
|
|
| First Name/s: |
|
|
|
| Address,
City: |
|
County/State |
|
| Country |
|
|
|
| Telephone: |
(country)
(area)
|
| Facsimile:
|
(country)
(area)
|
| Email: |
|
|
| General
Inquiries or Call 1300 880 835
|
| --------------------------------------------------------------------------------------------------------------- |
| Campervan or Car Rental Booking |
| Number
of Persons Travelling: |
|
|
|
| Adults
|
Children:
|
Age(s)
:
|
|
| Where is
the vehicle pickup |
|
|
|
| Where is
the vehicle dropoff |
|
|
|
| Pickup
Day: |
|
|
| Drop Off
Day: |
|
|
| |
|
|
|
| .Type of
Campervan/Motorhome requested |
|
|
| Type
of Car requested |
|
|
| |
| Type
of INSURANCE
Excess Reduction's ( Payable on pick up )
|
| Baby Seat
|
|
Tables
and Chairs |
|
Note: Pick
Up and Drop Off days are included as One Calendar Day each (Car 24hr
period)
$200 One Way for Rentals to Cairns, Alice Springs, Darwin, Sydney, Melbourne,
Perth ,Adelaide, Brisbane
$300 Remote Location Fee for rental to/from Broome Campervans Only
NOTE: Rates May Vary depending on vehicle and depot chosen.
We will advise you of the correct rate when you receive our first quote
|
| |
|
|
|
| How did
you find this web site |
|
|
|
| --------------------------------------------------------------------------------------------------------------- |
| Tour
Details: Only fill in if you are booking a Tour / Train / Self Drive
Package |
| Tour Code
Tour Description
Tour Cost
|
| Tour Departure
Day:
Preferred Tour Departure Date:
|
| Number
of Persons Travelling:
Adults:
Children:
Age(s) :
|
| ------------------------------------------------------------------------------------------------------- |
| Accommodation
Booking: Only fill in if you are booking a Hotel/Hostel |
| Arrival
Details: |
Where:
|
Details ie: Qantas 492
|
| Hotel (If known)
|
|
| Accommodation in date |
|
|
| Accommodation out date |
|
|
| Transfer
Required from Airport |
|
|
|
| Special requests
or comments: |
|
|
|
| --------------------------------------------------------------------------------------------------------------- |
- PLEASE
ENTER YOUR PAYMENT DETAILS AFTER WE HAVE CONFIRMED YOUR BOOKING: Do
not fill in details for quote only!
Remember we are open 7 Days 9 - 5 CST if you would prefer to
pay over the phone! 1300 880 835 |
Type of Card
|
|
|
| Credit
Card Number:
Expiry Date: Month:
Year:
|
| Name On
Card:
|
| Amount:
Aust Dollars $
Date of Purchase:
|
CREDIT CARD SIGNATURE:....................................................................
Fax Bookings only
|
| We can send a
voucher BY SURFACE MAIL for confirmed bookings so please put your
Mailing or Home Address HERE!:
|
|
|
|