Group Travel Australia
Client Form

Please fill out the form once for EACH person. We will contact you shortly during office hours 10-2pm Monday to Friday

Chloe Pax Form

Title

Miss, Mrs, Ms or Mr

First Name

EXACTLY as appears on Australia ID for airport checkin

Surname

EXACTLY as appears on Australia ID for airport checkin

Date of Birth

xx/xx/xxxx

Mobile Phone Contact

Postcode

Required for Flights

Qantas Frequent Flyer Number

Virgin Velocity Number

Billing Address

Leave blank if same as above

Seat Preference

Medical Conditions, Allergies, Dietary, Comments

Who are you sharing with? what room configuration are you requesting?

Checkbox

Cruise

Land Tour

Flights

Group

Important info

How did you find out?

I have read Terms & Conditions

YES