Booking Form

Use this form when you've checked our Terms and Conditions, you've discussed your needs with us, and you're ready to go ahead and confirm your booking...

Your oceanswimsafari?(*)

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Names (as on passports for all those covered by this booking - We require one booking form per room)(*)

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Dates of birth of all those covered by this booking(*)

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Street Address(*)

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City/Town(*)

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State(*)

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Postcode/Zip(*)

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Country(*)

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Email(*)

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Mobile phone(*)

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Passport numbers (indicating names in case of multiple travellers on this form)(*)

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Passport expiry (indicating names in case of multiple travellers on this form)(*)

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Passport country of issue (indicating names in case of multiple travellers on this form)(*)

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Names of swimmers (including yourself)(*)

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Names of non-swimmers

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Travel dates, flight numbers, arrival and departure times. (NB: If you don't have your flight information now, it is your responsibility to send it to us when you finalise your flights. We need this information in order to arrange or advise on transfers, etc.)(*)

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Room configuration?(*)

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Special Requirements (e.g. dietary, access)

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Shirt size (Mana Fiji only)

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Resort/Hotel, room standard and other preferences (if available)

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I have read the Terms & Conditions and I agree to them. Please send me an invoice.(*)

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Please, prove that you're a person...(*)

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Hellercamp Pty Ltd
t/a oceanswimsafaris.com
PO Box 1164
Meadowbank
NSW 2114
Australia

ABN 97 163 965 704

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