online booking form

Personal Details

Person One

(to whom all correspondence will be sent)

First Name		Last Name
Address One		Address Two
Suburb		Postcode
State		Country
Phone (BH)		Phone (AH)
Mobile		Fax
Email
Age		Date of birth
Special dietary requirements e.g. allergies, don't eat red meat (please be specific)

Significant medical conditions we should know about

Emergency Contact: Name

Emergency Contact: Number

Person One Frequent Walker Point Voucher Number

If there is another person travelling with you and booking on this form, please tick this box and enter their details

Person Two
First Name		Last Name
Address One		Address Two
Suburb		Postcode
State		Country
Phone (BH)		Phone (AH)
Mobile		Fax
Email
Age		Date of birth
Special dietary requirements e.g. allergies, don't eat red meat (please be specific)

Significant medical conditions we should know about

Emergency Contact: Name

Emergency Contact: Number

Person Two Frequent Walker Point Voucher Number

Holiday details & requirements

Name of walking holiday
Trip type
Walk duration (days)
Room type
	(Note: An additional single supplement fee is payable for single rooms) For Guided trips: Snorers please be considerate - do not ask to twin share with someone you don't know
Select your start date

If your preferred start date is unavailable what other start date/s would be suitable?

Arrival method & approximate time

How did you find out about us?

Overseas clients:

Your final Info Pack weighs about 1kg. It can be mailed free of charge to any Australian address you supply. Or, for an additional $50 per booking we can mail your Info Pack to an overseas address ($30 for New Zealand). Please indicate where you want the Info Pack sent (name, address, phone, date you arrive).

What date are you leaving your overseas home address?

Terms & Conditions

Person One:

I have read and agree to Auswalk's

Booking Conditions

Person Two:

I have read and agree to Auswalk's

Booking Conditions

Deposit:

A deposit of $300 per person is required at the time of booking. The balance is payable one month prior to the start of the holiday (or 75 days prior for Lord Howe Island).

Please tick which payment method you are going to use (and don't forget to hit the SEND button at the very bottom of the booking form once you've dealt with your deposit payment)

I will send a cheque or money order by mail (Australian dollars)

I will complete the online

Credit Card Payment Form. Note that clicking this link with take you to a secure page. Your card will not be charged unless we can confirm the booking for the date requested. If you prefer, you can phone us with your credit card details or ask us to email you a form that can be printed and then mailed or faxed. If you click on this link to pay, don't forget to go back to the booking form and send your booking.

I will pay by direct deposit into Auswalk's bank account

PLEASE SEND AN EMAIL TO ADVISE US YOU HAVE MADE A PAYMENT

Payments into Auswalk Account FROM WITHIN AUSTRALIA
Bank: VTU Credit Union, Camberwell
BSB: 704 191
Account Name: Auswalk Pty Ltd
Account Number: 82741
Reference: Your name and trip name

Payments into Auswalk Account FROM OVERSEAS

BENEFICIARY NAME: American Express International Inc

BENEFICIARY ADDRESS: Level 7, 60 Union Street, Pyrmont NSW 2009 AUSTRALIA

A/C NUMBER: 0010036306

BENEFICIARY BANK: JPMorgan Chase

BANK ADDRESS: 259 George Street, Sydney NSW 2000 AUSTRALIA

SWIFT: CHASAU2X

PAYMENT NOTES: FFC VTMB Auswalk 82741

Please also provide your name and walk name (e.g. Smith, Great Ocean Walk)

Note: Payments are to be made in Australian dollars (AUD)

Comments or Questions

Please insert any additional comments or questions into the text box below and then click the <Send> button to submit your online booking request to Auswalk.