Phone: 607. 692. 4036
e-mail: sales@alloverdownunder.com

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Name

Address
City
State Zip
Home Phone
Business Phone
Fax
E-Mail
Date of Travel
Length of Travel
Planned Budget
# of Passengers
Senior Citizens
/ Children Under 12

Style of tour (Choose 1)
Travel History (Choose 1)
Escorted Motor Coach Tour
First Trip to South Pacific
Independant Tour Repeat Trip to South Pacific

Style of Flight (Choose 1)
Excursion FareFirst ClassBS Class FF Award

Accomodations (Check all that apply)
Car Rental
Train Travel
Cruise
Bus Pass
Hotel
Bed & Breakfast
Camper
Theatre
Sports Events

Area of Interest (Check all that apply)
Australia
Tahiti
New Zealand
Fiji

Smoking Preference (Choose 1)

Seating Preference (Choose 1)
Smoking
Non-Smoking
Window Seat
Aisle Seat

Airline Frequent Flyer
US AAUA DL CO NW

Special Interest or Request. Comments are Welcome!





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