BOOKING FORM
Please complete the following form, scan then email to
enquiries@travelatyourleisure.com.au to secure your booking.
All compulsory fields are required before travel. If at time of booking some details, such as
insurance are yet to be finalised please indicate with TBA in appropriate tabs.
* An asterisk indicates a compulsory
field. Please indicate the tour you are
booking for:
Grapes, Gastronomy, Gothic and Gehry: 14th – 27th
May 2016
Autumn In Northern Italy: 17th – 30th September 2016
Please complete Section 1 as the coordinator for the booking and then Section 2 for each
traveller including yourself.
Section 1:
*Your Name
*Your Email
(we will contact you with this email
address)
*Contact Telephone Number
*Number of Travelers
Section 2: Complete for each person in your party including yourself.
Please type the name exactly as it appears on the passport of the traveler.
*Title
*First Name
*Middle Name
*Surname
*Date of Birth
Email
*Emergency Contact
Person
*Relationship to you
*Contact person number
*Passport Number
(If travelling inside Australia please
enter N/A)
*Passport Expiry (dd/mm/yyyy)
*Nationality
Travel Insurance Company Name
Travel Insurance Policy Number
Travel Insurance Emergency Phone
Number
Dietary Requirements
Allergies / Special Medical
Information
Anything else you thing we should
know?
Do you require a shared or single
room?
TERMS AND CONDITIONS
These terms and conditions must be read in conjunction with the full terms & conditions.
 All prices are in Euro dollars and are subject to change without notice. Price is
not guaranteed unless full payment has been received
 Full payment is due 12 weeks prior to departure
 10% deposit is required at time of booking by cash, cheque or direct deposit.
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Account details: Travel At Your Leisure BSB: 064119 Account Number: 10286286
Travel insurance is compulsory when travelling with Travel At Your Leisure and details
must be provided prior to departure
Any part of the tour not utilised is non-refundable
Travel At Your Leisure and its partners reserves the right to change the itinerary
due to unforeseen circumstances
Rooms will be allocated at Travel At Your Leisure discretion. If you have requested a
single supplement, you will get your own room, however in some instances you will be
sharing a villa or apartment with others.
This tour is based on 8 participants

If minimum numbers are not reached, Travel At Your Leisure will re-quote with the
numbers booked to provide the option to continue with fewer participants. If the tour
does not proceed a full refund of the deposit would be made.
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Baggage is restricted to one small suitcase per person (you must be able to carry your
own suitcase), plus handbag as luggage storage is in a van travelling with the tour.
I/We acknowledge that I/we am/are 18 years of age or older.
I/we have read, understand and agree to the Full terms and conditions are outlined at
http://www.travelatyourleisure.com.au/terms--conditions.html
Signature/s ………………………………………………………………………….
Print Full Name/s …………………………………………………
Date …………………………… Email completed form to: enquiries@travelatyourleisure.com.au