- Destinations R Us

Do You Understand & Agree To The Conditions of Use *

Voucher Sponsor*

Voucher Issue Date*

Voucher No*

Full Name 1*

Age1*

Date of Birth1*

Occupation1*

Income1*

Full Name 2 *

Age 2*

Date of Birth 2*

Occupation 2*

Income 2*

Married/De-facto/Single*

How Long Together*

Address*

Post Code*

Country*

Daytime Contact No*

Mobile No*

E-mail*

Traveling Child 1

child 1 age

Traveling Child 2

child 2 age

Traveling Child 3

Child Age 3

Holiday Destination (Please Use Only Destinations Available on This Site) *

Available Nights (Please Use Only Available Nights listed on This Site) *

1st Travel Date*

2nd Travel Date (If First is Not Available)*

Are You A Home Owner*

Are You A Credit Card Holder*

Are You A Member of Timeshare/Club Membership*

If Yes - Where

Have you been to a resort promotion within the last 12 months - Yes or No *

If Yes - where did you attend this?*

Nationality of Both Travellers*

Do You Authorise Us To Contact You By Email?

Credit Card Number For Booking Fee

Credit Card Expiry Date

Comments

Credit Card will only be processed on confirmation from your booking details

Please be aware that credit cards that have been declined WILL INCUR a further administration fee of $25

Non-attendance at the hotel/resort presentation and failure to meet and abide by the conditions will forfeit this package offer and full accommodation rates will be charged