GENERAL ENQUIRY (independent travellers)

We welcome and value your enquiry and thank you for your expression of interest. Please complete the form below and we will email or post a response to you as soon as possible.

Thank you.

Title:

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First name:

Last name:

Email address:

Telephone:

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Fax:

Address:

City:

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Questions:

Which of our journeys are you specifically interested in?

What are your specific interests?

	Walking / hiking
	Fauna
	Flora
	Bird watching
	Photography
	Art
	People & indigenous culture
	Relaxing in the wild
	Other:

Are you currently planning an Australian Holiday?

	Yes
	No

Have you completed your plans?

	Yes
	No

What are your intended / desirable travel dates?

From:			(dd/mm/yyyy)
To:			(dd/mm/yyyy)

Number of people in your party:

Adults:
Children:		(ages 14 - 17)

Would you like to be on our postal mailing list?

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Would you like to be on our email newsletter mailing list?

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Your age group:

Gender:

How did you learn about Nature-Bound Australia?

	Web site
	From a friend
	Travel publication or media: (please specify which publication)
	Advertising
	Through club or organisation
	Other Nature-Bound participant

Your special interest, national park or wilderness experiences have included:

Please detail your enquiry and requirements:

Any additional background information:

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Nature-Bound Australia PO Box 1209 New Farm 4005 Qld Australia
Phone + 61 7 3254 1911 Fax + 61 7 3254 1977 Email info@natureboundaustralia.com