Booking Form

Personal Details

Passport Details

Special Requests

E.g. Aisle, Middle or Window
Please enter any applicable frequent traveller membership programs and member numbers. E.g. Qantas Frequent Flyer: #1234567

Emergency Contact

Booking Confirmation

Payment

Credit card processing fee of 1.5% for Visa, MasterCard and America Express will apply when paying by credit card. To avoid credit card fees, you can do a direct deposit into our account. Otherwise, please complete the credit card form below.

Direct Deposit

PCC World Pty Ltd
Westpac, 360 Collins Street
033-002
320711
Please use your name as reference

Credit Card Details

If paying by direct deposit, please leave blank.

Methods of Payment: The above charge may appear on your Credit Card Statement as either Journeys by Design, or as the Operator you are traveling with. Credit Card Transaction: Credit card processing fee of 1.5% for Visa, MasterCard and America Express will apply when paying by credit card. If for any reason any travel service provider is unable to provide the services for which you have contracted, your remedy lies against that provider, and not against Mosaic Travel or Journeys by Design. In the event that payment has been made to Journeys by Design by credit card, you agree that you will not seek to charge back your payment to Mosaic Travel or Journeys by Design. Terms and Conditions Of Booking: Please read the Booking Terms and Conditions provided. By signing this Authorisation for Credit Card Charge you also acknowledge that you have read, understood and agree to be bound by the Booking Terms and Conditions. You will be required to sign this form and return it to us before we can make a booking for you. Deposits: Please note deposit payments are non refundable. Cancellation penalties will apply once full payment has been made. I acknowledge that I am 18 years of age or older, I authorise the above charges and acknowledge that I have read, understood and agree to be bound by the Booking Terms and Conditions.

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