ROOF TOP FARM AND FOOD TOUR NEW YORK 2014 TOTAL COST- FLIGHTS NOT INCLUDED Twin Accommodation: AUD $5990 Single Accommodation: AUD $7090 Deposit Due: $1000 Thursday 18th December 2013 Final Payment Due: Friday 14th March 2014 Please email completed booking form by Thursday 18th December 2013 to both Reho Study Tours studytours@reho.com AND the Tour Co-ordinator Indira Naidoo fitztodo@ozemail.com.au Please note that the above cost does NOT include flights. Reho Study Tours offer very competitive airfares and are happy to assist you with the organisation of your flights and any other additional travel arrangements that you may require. Contact: Reho Study Tours, 484 St Kilda Rd, Melbourne Vic 3004 Phone: (03) 9823 5288 Fax: (03) 9827 0373 Email: studytours@reho.com Website: www.rehostudytours.com.au Please TYPE or print in CLEAR handwriting- Thank you! TOUR OPTIONS Accommodation Preference: Please select one { } Twin Accommodation { } Single Accommodation { } I would like Reho Study Tours to supply me with a quote for flights (Please supply itinerary information below) PERSONAL DETAILS Title: Given Name(s): As it appears on your passport Family Name / Surname: As it appears on your passport Preferred Name: Date of Birth: dd/mm/yyyy Nationality: Country of Birth: Full Postal Address: Home Phone: Mobile: University Email: Other Email: State: Post Code: EMERGENCY CONTACT DETAILS Title (Mr, Mrs, Ms): Given Name(s): Full Postal Address: State: Family Name: Home Phone: Mobile: Email: Post Code: Relationship: PASSPORT DETAILS { } I am currently in the process of applying for / renewing my passport Passport Number: Issue Date: Expiry Date: ADDITIONAL FLIGHT INFORMATION Do you have any Frequent Flyer memberships? Please specify; Seating Preference (Please be advised that we cannot guarantee seating): Do you have any special meal requirements? If YES please specify; Do you have any pre-existing medical conditions? If YES please specify; { } Window { } Aisle { } Yes { } No { } Yes { } No PAYMENT DETAILS I would like to pay my deposit by: { } Cheque { } Direct Bank Transfer { } Credit Card- Please supply details below Cheque made payable to Reho Travel Pty Ltd Direct Bank Transfer NAB Bank BSB: 083 155 Account number: 153 901 491 Reference: Your SURNAME and EDIBLE Credit Card 2.5% fee charged on all credit card transactions Receipts will be issued directly by Reho Study Tours. Name on Card: Card Type: { } Visa { } MasterCard { } Amex Number: Expiry Date: BOOKING TERMS AND CONDITIONS 1. In order for us to confirm your travel arrangements you must provide all requested details. Necessary details include full name as per passport, date of birth, nationality, passport number, passport issue and expiry date and any preexisting medical conditions you have which may affect your ability to complete your travel arrangements. 2. You must carry a valid passport which must be valid for six months beyond the duration of the trip. Reho Study Tours will assist you with any visas or permits you may require, but it is your responsibility to ensure that you are in possession of the correct visas, permits and certificates before the departure of your trip. 3. If you cancel your position on this tour, cancellation fees will apply. A cancellation will only be effective when we receive written confirmation of the cancellation. Cancellation Policy: Prior to 90 days Loss of deposit $1000 60-90 days 50% cancellation fee 60 - 0 days 100% cancellation fee 4. You are strongly advised to take out cancellation insurance at the time of booking which may cover the cancellation fees. If you leave a trip for any reason after it has commenced we are not obliged to make any refunds for unused services. I have read and accepted the booking terms and conditions; Signature: Date: