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Home / Travel Booking Form

Credit Card Authorization Form

Name

Date *

Form completed by:

First Name *

Last Name *

I authorize Downunder Travel Ltd and/or their appointed suppliers to charge my credit card the total amount show here. Being payment for my/our travel arrangements made by Downunder Travel Ltd.

For your security, please call your Consultant with your credit card number. *

Visa

MasterCard

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Lead passenger name:

First Name *

Last Name *

Billing Address:

Street Address *

Address Line 2

City *

Postal / Zip Code *

State / Province / Region *

Select Country *

Please mail my travel documents to a different address

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Phone Number *

Email *

Seat Preference *

Dietary Restrictions *

Yes

Travel Consultant's Name *

Would you like to sign up for the latest news and promotions from Downunder Travel? Downunder Travel respects your privacy and in doing so will not divulge your contact information to any third parties.

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TRAVEL INSURANCE WAIVER

Please complete below to indicate if you wish to purchase the insurance that was recommended to you.

I have been advised by Downunder Travel agent that the following travel insurance discussed is available and understand that by opting out of insuranceany expenses incurred, while not covered by a travel insurance policy, will be of my own financial responsibility. My travel agent/agency has no responsibility for these possible expenses.

Emergency excess hospital and medical insurance? *

Trip Cancellation and Interruption Insurance? *

Please provide any additional information if needed:

How Did You Hear About Us? *

I agree to the Downunder Travel terms and conditions found on this website. To view terms and conditions click on the link below.

View Terms and Conditions

All bookings are subject to availability at time of booking. Prices advertised are in Canadian dollars. Prices are subject to change without notice until such time as the package is booked and paid for. Downunder Travel Ltd. is the agent/broker in this equation and for that reason is not responsible for any issues or incidents which result in clients expenditure outside of the package booked paid for and agreed upon. All passengers traveling to Australia onwards must have an Australian Travel Visa. Please advise your Downunder Travel Specialist should you be traveling on anything other than a Canadian or U.S. passport. Airfare, taxes & fuel surcharges component of package must be paid in full at time of booking at which time the airfare becomes non-refundable. Downunder Travel highly recommends that all passengers protect themselves with cancellation / interruption insurance which will cover them against cancellations due to non pre-existing medical conditions which cause them penalties or other expenses. We also highly recommend medical insurance for any travel outside of your home province. Your Downunder Travel Specialist can assist with both Cancellation/Interruption Insurance and Medical Insurance.

Security question: What is twelve minus 2? *