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Booking and Payment Form

Planet Perth Tours
PO Box 230
Como 6952
Western Australia
Telephone: +61 (08) 9225 6622
planet@planettours.com.au

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We accept Visa, Master Card and Amex.

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Your Details
Full Name*:
Address:
E-mail Address * :
Phone Number * :
Fax Number:
Concessions
Do you have a concession card?	Yes No
If Yes please select one from the list:
If other please specify:
Card Number:
Tour Details
Select Tour:
Do you require a sleeping bag? ($15 cost for the duration of the tour)	Yes No
Departure Date (dd/mm/yy)
Number of Adults
Number of Concessions
Number of Children (Under 12)
Dietary Requirements:	Standard Vegetarian Other
If other please specify:
Please specify any health concerns:
Pickup From:	Central Pickup Hotel or Hostel
If Hotel or Hostel please specify:
Payment Details
Credit Card Type:*
Credit Card Number:*	- - -
Name on Card:*
Expires Date: * (mm/yy)	/
3 Digit CCV Number on reverse (Credit cards only):	View Example
Amount:* All payments in Australian Dollars $
I agree to the Terms and Conditions*	to Terms and Conditions

Book with confidence.

Planet Perth Tours are members of Tourism WA and Accredited to the Tourism Council of WA. Accreditation provides the consumers with an assurance that businesses are committed to professionalism both in operations and delivery of service and that the company is carefully monitored. In addition to our accreditation we also hold an Australian Travel License and are members of the Travel Compensation Fund. Our Travel License Number is 9TA 1384.

This booking form is sent via a secure server 256 bit encryption