BOOKING FORM

Name:
Postal Address:
Town/City:	Post Code:
Email Address:
Telephone:	Fax:
Selected Safari
Preferred Date:	Alternate Date:
Full Cost: $A	Deposit Req'd: $A
Any Special Interests:
Administration
Any Dietary Requirements:

Other Prefs: e.g. No Chillies

Medical needs:

Do you wish to hire a sleeping bag? (Cost $A5.00 p/night Max $A20.00		Yes No

If you wish to download a Booking Form that you can fill in and post or fax back to us, please click below. Post to PO Box 472, Herberton Qld 4872 or Fax to 07 4096 2366