Registration and Booking FormShelley & Alan’s Egyptian Photography & Culture Tour October 2019

 Please print details clearly in block letters and also attach a photocopy of your passport to this booking form. Tour start date is: Thursday October 3rd 2019 ex Cairo. Passenger name (as written in your passport) : ___________________________________________________________________ Address : ________________________________________________________________________________________________ Home Telephone Number : __________________________________________________________________________________ Mobile number : __________________________________________________________________________________________ Email address : ___________________________________________________________________________________________ Occupation : _______________________________ Age : ________________ Date of Birth : _________________ (D/M/Y) Nationality : ______________________________________________________________________________________________ Passport number & Expiry date : _____________________________________________________________________________(Must have 6 months from the date of the tour completion) Any special dietary needs : __________________________________________________________________________________ Flight requirements : (if required) : ____________________________________________________________________________ Flight seat request : ________________________________________________________________________________________(We are happy to make requests however the airline does not guarantee meeting these requests) Accommodation : Single/Twin/Double Room : __________________________________________________________________ Other requirements : _______________________________________________________________________________________ Do you have any existing medical conditions? Yes or No _________________________________________________________ If yes, please give details : __________________________________________________________________________________ In case of emergency, who do we notify: Name : _____________________________________________Address : _____________________________________________ Phone : ____________________________________________ Email : _______________________________________________ Please return this form with your non-refundable deposit of $700 per person 

I enclose a cheque for $700 

Please debit my credit card $700 Card # : ______________________________ Expiry date : __________________  Direct Deposit – please email/fax through notification if you use this facility.

Bank : NAB BallinaBSB : 082 522 Account Number : 479 466 477 Ref : OliverEgypt(and your initials)

 Please complete the registration form and return it along with your payment. By completing this registration form you acknowledge you have read and accept the Terms and Conditions following.

Return to :Windrose Travel Ballina2/140 River St, Ballina NSW 2478 Fax (02) 6621 8003 Email : admin@windrosetravel.com.au