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* 1. What is your first name? (As Per Passport)

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* 2. What is your last name? (As Per Passport)

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* 3. What is your passport number?

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* 4. What is your date of birth (DD/MM/YYYY)

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* 5. What is your phone number? (We will call you on this number for the deposit payment)

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* 6. What is your E-mail address?

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* 7. What is your home address? (Street Address, Suburb, Postcode, State)

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* 9. What is the name of the person you will be sharing your room with?

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* 10. Terms & Conditions:
Brett Jenkins & Line Dance Travel arrange travel arrangements only. I do not accept liability of whatever nature for the acts, omissions or default, whether negligent or otherwise, of those airlines, coach operators, shipping companies, hoteliers or other persons providing services in connection with your tour pursuant to a contract between them and yourselves and over whom I have no direct and exclusive control. I do not accept liability in contract or in tort for any death or injury to any person, damage or loss to any property or otherwise (including baggage), delay, additional expenses or inconvenience sustained or suffered in or during any journey trip or tour, or in carrying out of any arrangements booked by or through it and not withstanding that its principle may be a foreign company, corporation or person and that so far as Brett Jenkins & Line Dance Travel shall not be acting as such agents, as above, it shall be deemed to be acting as agents for the passengers effecting the bookings. The booking is not transferable to any other name then what is written above under 'First Name' & 'Last Name'. Airlines and hotels may change without notice. The issuance and acceptance of receipts, tickets, service vouchers and/or exchange orders shall be deemed as consent by the passenger to the above conditions. All payments are non-refundable. Travel insurance is strongly recommended. Brett Jenkins & Line Dance Travel also reserves the right to charge the client any fees/price increases charged by airlines, hotels and service operators (includes fluctuations in the exchange rate).

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