Battlefield Tours Booking Form

How to Book | How to Pay

1. 4 Day Battlefield Tour: ANZACS on the Western Front Tour Details
Tour Name / Tour Code:
# of Travelers: Joining Tour:           
Departure Date:
(First Choice)
Departure Date:
(Second Choice)
Chosen Pick-up point (See Itinerary for options):
Please note: If pick-up point not mentioned on itinerary, leave blank
Have you traveled with Back-Roads before?:        

2. Personal Details
(Lead Passenger) Passenger 1 :
First Name: *
Last Name: *
Room Type:                
List any physical / mobility problems
which may affect your participation:
Do you have any dietary requirements?
List any dietary requirements
or food allergies here:
Pre or Post tour accommodation needed?:        
  ›  Click to add a 2nd Passenger Details:
P2 - First Name:
P2 - Last Name:
P2 - Room Type:                
P2 - List any physical / mobility problems
which may affect your participation:
List any dietary requirements
or food allergies here:
 
P2 - Pre or Post tour accommodation needed?:          
  ›  Click to add a 3rd Passenger Details
P3 - First Name:
P3 - Last Name:
Room Type:                
P3 - List any physical / mobility problems
which may affect your participation:
List any dietary requirements
or food allergies here:
 
Pre or Post tour accommodation needed?:          
  ›  Click to add a 4th Passenger Details
P4 - First Name:
P4 - Last Name:
P4 - Room Type:                
P4 - List any physical / mobility problems
which may affect your participation:
List any dietary requirements
or food allergies here:
 
Pre or Post tour accommodation needed?: Yes         No  

Full address of lead passenger:
Address:

City:

Province / State:

Country:
Home Tel: Mobile Phone:
Email:
Fax:
Age Range:
       
Where did you hear of
Back-Roads Touring Co.?

  ›  Click Here if this is being booked by Travel Agent
Agent Name:
Agency: ‹ IATA/TIDS#
Tel:    
Email:    
Fax:    
Address:

City:

Province / State:

Country:
Additional Comments:

I agree to the Back-Roads terms and conditions:
Booking Notes:

Upon completion of your booking form you will recieve an automated response and will hear from a consultant within 48 hours. If, due to technical issues, you do not recieve a response from one of our consultants, please e-mail : info@backroadstouring.co.uk and we will ensure your booking is processed. Payments are not required at time of submitting this form, however, once your tour request is confirmed you will be subject to our full booking terms and conditions:

Booking Terms and Conditions