Make a Booking

ESCAPE:

Dates

BOOKING TYPE:*

Individual Booking
Group Booking

we will primarily maintain contact with the registered Group Leader.

Number in Group

For bookings greater than 25 please provide

Tour Name If Applicable

Group Leader Name

First Last

Mobile

Email*

GUEST DETAILS:

In accordance with Regulatory requirements, we need to gather personal information for you and anyone travelling with you. The guest names MUST match the names on their passports (International travel) or applicable ID (Domestic travel) which will be required to be presented at check-in. Please refer to our Privacy Policy below.

Full Name

First Last

Partner's Name

First Last

Email

Phone

GUEST DETAILS (Group Booking):

Please give us the names of all guests

Guest Name #1

First Last

Guest Name #2

First Last

Guest Name #3

First Last

Guest Name #4

First Last

Guest Name #5

First Last

Guest Name #6

First Last

Guest Name #7

First Last

Guest Name #8

First Last

Guest Name #9

First Last

Guest Name #10

First Last

Guest Name #11

First Last

Guest Name #12

First Last

Guest Name #13

First Last

Guest Name #14

First Last

Guest Name #15

First Last

Guest Name #16

First Last

Guest Name #17

First Last

Guest Name #18

First Last

Guest Name #19

First Last

Guest Name #20

First Last

Guest Name #21

First Last

Guest Name #22

First Last

Guest Name #23

First Last

Guest Name #24

First Last

Guest Name #25

First Last

ACCOMODATION REQUIREMENTS:

Number Of Rooms Required

Twin Share

Single Occupancy

SPECIAL REQUIREMENTS:

Dietary

MENU OFFERING

Allergies

Provide info on Allergies*

Do you require an Epipen

Assistance

Provide info on Assistance*

GOLF REQUIREMENTS:

Number Playing

Own Clubs

Number Of Clubs Required

MEDICAL:

We or our supplier, may refuse to carry you if we are not completely satisfied that it is safe for you to fly. You should tell us if you suffer from any illness, disease or other condition which may make it unsafe for you or other Passengers if you fly. Is there any medical condition(s) that we should be aware of?

Is there any medical condition(s) that we should be aware of?*

Provide info on medical condition(s)*

EMERGENCY CONTACT:

Title

Gender

Full Name

First Last

Email

Phone

Relationship

Terms and Conditions*

I agree with the Air Escapes Terms and Conditions

Conditions of Carriage*

I agree with the Air Escapes Conditions of Carriage

TO SECURE YOUR ATTENDANCE ON THIS ESCAPE, A 20% DEPOSIT IS REQUIRED

Preferred Payment Type :

Electronic Funds Transfer
Credit/Debit Card
Paypal

You will receive an email confirmation with our Bank Details to allow you to make the Electronic Funds Transfer.

For added security a Member of the Air Escapes Booking Team will contact you by phone to take your credit card details.

On submit you will be redirected to paypal for payment.

Depsoit

Price: $0.00 Quantity:

Rest of total amount

Price: $0.00 Quantity:

Total

$0.00

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GUEST DETAILS:

GUEST DETAILS (Group Booking):

ACCOMODATION REQUIREMENTS:

SPECIAL REQUIREMENTS:

GOLF REQUIREMENTS:

MEDICAL:

EMERGENCY CONTACT:

TO SECURE YOUR ATTENDANCE ON THIS ESCAPE, A 20% DEPOSIT IS REQUIRED

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