Launceston:
03 6215 8798
• Hobart:
03 6215 8799
• CTM Corporate:
03 6215 8700
Andrew Jones Travel
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Consultants name
Title
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Mr
Mrs
Ms
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Dr
Name as per passport
*
First
Last
Middle name
Preferred name
Date of Birth
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Contact details
Home address
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Street Address
Address Line 2
City
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ZIP / Postal Code
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Best phone number
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About your trip
Number of passengers
Departure city of your outbound flight
Departure date
Arrival city
Departure city of your inbound flight
Please let us know what city you would like to depart from at the end of your trip
Departure date
Inbound arrival city
This is the city you would like to arrive into at the end of your holiday
Stopover information
If you would like a stopover, please specify where you would like to stopover, and whether it will be on the way over or on the way back.
Would you like us to help you with any land arrangements?
We can also look after any requests you have for tours, cruises or other land itineraries.
Frequent Flyer details
Airline
Membership number
Airline travel preferences
Preferred airline
Preferred class of travel
eg. economy, business etc
Preferred seating
eg. aisle or window/ rear of front of plane
Group tour name
Special meal requests
Group tour additional details
These fields are only applicable if you are travelling on an Andrew Jones Travel or Travelling Ladies Club group tour.
Do you have any pre-exisiting medical requirements?
Are you physically fit for this holiday?
Is there anything your tour escort should be aware of? eg. scared of heights
Can you handle your own suitcase?
Do you have any dietry requirements?