J & P COACHES - BOOKING FORM

Please complete the following form to allow our consultants to process your booking / enquiry. Return To Home

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Please provide the following contact information:

First Name

Last Name

Title (Mr, Miss, Mrs)

Street Address

City

State

Postal Code

Country

Work Phone

Fax

E-mail

URL

Name of Holiday
Price of Holiday

Have you been away with us before
Which holiday

Name of Disability
Are you in a wheelchair
Do you need meal time assistance
Do you need personal care assistance
Do you need mobility assistance
Do you communicate verbally

Do you have any questions

On acceptance of your booking you will be required to send a 20% deposit immediately if you wish to confirm your booking. Terms and Conditions

Please note: We will reply within 72 hours of receiving this request. If you would like a reply within 24 hours, please print this form and fax it to 02 9456 7771 or international fax 612 9456 7771.

All prices quoted will be Australian Dollars and will include G.S.T. ( Goods and Services Tax)

Return To Home How To Contact Us

First Name
Last Name
Title (Mr, Miss, Mrs)

Street Address

City
State
Postal Code
Country
Work Phone
Fax
E-mail
URL

J & P COACHES - BOOKING FORM

Julie Williams. Copyright © 2002 [J & P Coaches Pty Ltd]. All rights reserved. Revised: April 01, 2002

Julie Williams.
Copyright © 2002 [J & P Coaches Pty Ltd]. All rights reserved.
Revised: April 01, 2002