ONLINE BOOKING FORM

Deposit and Booking Form
Esplanade Travel, 315 Esplanade, Lakes Entrance Phone 03 5155 2404
Esplanade Travel, 25 The Esplanade, Paynesville Phone 03 5156 6931

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SELECT YOUR TOUR *

Passenger 1

Passenger 2

Name *

First

Last

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Address *

Line 1

Line 2

City

State

Zip Code

Country

Date of birth *

Date of Birth *

Phone Number *

Allergies / Medical Conditions *

Allergies / medical conditions *

Dietary Requirements *

Emergency Contact *

First

Last

Phone Number *

Emergency Contact *

First

Last

Phone Number *

Room Rate Required *

We will confirm your booking for the tour with us via phone or email and we will notify you if a deposit is due. Refund of Deposit only available if cancelled 3 months prior to departure or if we can fill your position in the tour, due to our commitments to other companies. We recommend Travel Insurance, should you need to cancel after this date. Payments may be made to Esplanade Travel Trust Account by direct deposit – details:-
Bendigo Bank Paynesville
BSB – 633 000
Acct – 160985321

***Please use your Surname + Tour as a reference.
Cheques, Cash and Eftpos are also accepted. All credit card payments incur a 1.08% merchant fee surcharge
Thank you for your booking with Esplanade Travel and look forward to the journey together

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BOOK ONLINE WITH US

Passenger 1

Passenger 2