Enquiries Form - Perth

Please fill in the form below and click SUBMIT. It will be automatically directed to:

booking@jutawantours.com
             
We will respond to your request as soon as we received your booking form.

  
 
Full Name:
Address:
Tel/Hp Number:
Email Address:
Arrival Date and Time in Perth:
Departure Date and Time from Perth:
Have your flight tickets been purchased?  
If yes, by what Airlines and what is the Flight Number ?
Number of Days and Nights (eg 4D3N or 5D4N):
Type of Accommodation preferred: Homestay Apartment or 3 Star Hotel?
Total number of pax (Adult/Child/Infant):
Number of Adult (12 years old and above) Male/Female:  Age
Number of Child (2 - 12 years old) Boy/Girl:  Age
Number of Infant (2 years old and below):  Age
Do you require us to apply your visa (ETA)?
Do you require us to apply your travel insurance? 
Do you want to include meals (breakfast, lunch and dinner) in the package?
Facebook Username (N/A for Not Available):
Facebook Email (N/A for Not Available):
Is this your first time to Australia and Perth?  Yes or  No                      
How did you hear about us; Google Forum Newspapers, Magazines, Facebook, Friend (name) etc:
Remarks (Other Information or Special Requirements):

  

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