CROSSBREEZE PTY LTD
ACN 057 827 791 ABN 82 323 288 052
PO BOX 22A, THORNLIE  WA  6108

FLYING FISH CHARTERS FLYING FISH PRODUCTS LICENSED FISH PROCESSOR

Please complete all fields and then print and post, or submit electronically. Submitting this booking indicates that the applicant has read and understood all the Booking and Insurance Conditions and agrees to abide by them.

PLEASE SELECT THE CHARTER TOUR YOU WISH TO JOIN (For Perth-based charters, please use this form)

Esperance
Abrolhos Islands
Carnarvon
Dampier to Montebello
Onslow to Montebello
Broome - Prince Regent - Broome
Wyndham to Broome
Broome to Wyndham

Rowley Shoals

Departure Date (dd/mm/yy)
Name 1
Name 2
Address
Ph (work) Fax  
Ph (home) Email  

I/We have read the Booking and Insurance Conditions and agree to the terms.

Please tick appropriate box
I have insurance including cancellation insurance
I have chosen not to insure

To confirm my/our booking, the following payment accompanies this booking: (please select)

A deposit of $ will be sent via post (online bookings)

A deposit of $ will be sent with this form via post

Full payment of $ will be sent via post (online bookings)

Full payment of $ will be sent with this form via post

Please provide an emergency contact name, address and telephone number, other than your own:

It is a requirement of Flying Fish Charters that you provide us with details of any physical or mental condition you are aware that you have, which may require treatment. Please contact us for further details

Once this form is completed click the 'Make Booking' button to submit electronically, or click
'Print this Page' to get a printed copy which you can post to the address at the head of this page

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