GROUP TRAVEL PLANNER

Group travel organiser

Title:

	Mr
	Mrs
	Miss
	Ms

First name:

Last name:

Email address:

Telephone:

(home)

(work)

(cell)

Fax:

Address:

City:

State / Province:

Zip / postal code:

Country:

Preferred contact method:

Questions:

How many people are likely to be in your party?

Which of our journeys are you specifically interested in?

Do you prefer another starting date?

	Yes
	No

Have you noted the recommended 'best months to complete the preferred journey'?

	Yes
	No

Preferred starting date:

(dd/mm/yyyy)

Anticipated arrival date in Australia...

(dd/mm/yyyy)

Group Details:

Numbers in your group...

Anticipated:
Confirmed:

We would like to occupy this journey exclusively and will make up the minimum group of 14...

	Yes
	No

	We would be happy for Nature-Bound Australia to complete bookings with other people with compatible interests to our group, to make up a group of 14...
	OR - we will have a group of people and are happy for Nature-Bound Australia to make up a group of 14.

The average age of the group is...

What are your specific interests?

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

Preferred Accommodation

	Doubles:
	Twin-share:
	Twin share with single component:
	Comfort camping:
	Combination accommodation / camping as needed

Would you like to be on our mailing list?

	Yes
	No

Would you like to receive our quarterly email newsletter?

	Yes
	No

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

Please provide any relevant details of your Group's previous travel excursions:

Details your enquiry and requirements here:

Any additional background information:

Group leader to complete:

Collection, use and disclosure of your personal information is governed by our privacy policy. Use of this web site is subject to our disclaimer and copyright.

Please indicate that you have read, and understood, these by ticking this box:

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