Island Explorer Holidays Reservations

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Agent Booking Form

To make a "Package Reservation" please fill in the information below:

Agency Name:*
Consultant:*
Phone:*	Please include international prefix (eg. 0061)
Fax:
Mobile:
Email:*
General Office Email:
Postal Address:
Country:*

Save agency details on this computer:
Delete agency details from this computer

Booking Type:*	NEW BOOKING or UPDATE Information on a current Booking
Quote Number:	If you have previously received a Quotation, please advise the quote number.
Booking Reference Name:	To assist us in referring to your booking in all future correspondence, please provide a Booking Reference Name, (we recommend using a Last name or Sur-name of the main passenger).

Connecting Flight Details

Yes passengers have connecting flights:

To assist in Documentation and Ticket Issue and in proving assistance for connecting flights, please provide:

Flight No

Date

From

To

ETD

ETA

Flights Required

Flight Options:*

To refer to the Flight Schedules for current days of flights, please Click here.

Flight No

Class

Day

Date

From

To

ETD

ETA

If flights either do not operate or are not available on your requested dates, Island Explorer Holidays staff will use flights closest to the dates you prefer or will contact you prior to booking.

Passenger Details

How many passengers are travelling?*

It is an airline requirement for all passengers travelling on Austasia Airlines between Christmas Island and Singapore, to provide full passport details. Details will be provided later

Passenger

1

2

3

4 Passport Last Name (Family or Surname) *

Passport First Name *

Nationality

Date of Birth

Passport Number

Passport Issue Date

Passport Expiry Date

Country of Issue

Place of Issue

Special Requirements eg. Meals

Passenger Details (continued)

Passenger

5

6

7

8 Passport Last Name (Family or Surname) *

Passport First Name *

Nationality

Date of Birth

Passport Number

Passport Issue Date

Passport Expiry Date

Country of Issue

Place of Issue

Special Requirements eg. Meals

NOTE: Tickets and Documents will be issued according to the exact details as per your request. Amendments to Documents and Tickets issued incorrectly will be charged as per Island Explorer Holidays Terms and Conditions. Alternatively, to avoid errors and additional charges, please scan a copy of all passenger`s passports and email them to: reservations@islandexplorer.com.au

Hotel Details

Hotel

City

In Date

Out Date

Room Type

Bedding Config
eg. Twin beds or queen bed

Special Requests/ comments

NOTE: Room Types and Bedding Configurations are on REQUEST and may not be

Agent Booking Form

Agency Name:*

Consultant:*

Phone:*

Fax:

Mobile:

Email:*

General Office Email:

Postal Address:

Country:*

Booking Type:*

Quote Number:

Booking Reference Name:

Connecting Flight Details

Flight No

Date

From

To

ETD

ETA

Flights Required

Flight No

Class

Day

Date

From

To

ETD

ETA

Passenger Details

Passenger

1

2

3

4

Passport Last Name (Family or Surname) *

Passport First Name *

Nationality

Date of Birth

Passport Number

Passport Issue Date

Passport Expiry Date

Country of Issue

Place of Issue

Special Requirements eg. Meals

Passenger Details (continued)

Passenger

5

6

7

8

Passport Last Name (Family or Surname) *

Passport First Name *

Nationality

Date of Birth

Passport Number

Passport Issue Date

Passport Expiry Date

Country of Issue

Place of Issue

Special Requirements eg. Meals

Hotel Details

Hotel

City

In Date

Out Date

Room Type

Bedding Config eg. Twin beds or queen bed

Special Requests/ comments

Bedding Config
eg. Twin beds or queen bed