Wine Tour Booking Form. Please complete this form and click on submit. An email confirmation will be sent to you within 24 hours.
Destination : Please Select Tour Okanagan Tour 2010 (Ok2010) Barossa Tour 2011 (OZ2011)
Name as it appears on passport : (IE Mr Gerald smith)	Preferred name if different from passport :
Name1 :
Name2 :
Name3 :
Name4 :
Deposit Amount : ($500.00 p/p required for connfiration)
Email Address :
Credit Card Number :   Expiry Date :
Cardholder Name :
Billing Address :
Authorization to charge your credit card, please check this box :
If more than one credit card is being used, please complete our form again and repeat the names. We will match the form for each party travelling together.
Total Payment Amount :         Total payment due 60 days prior to tour date
We will send a remainder to you at a later date.           Please see terms and conditions for cancellation policy.
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