Williment Booking Form - Clipsal 500, 2009

By completing the following form you are not guaranteeing a successful booking, all bookings are subject to availability.
The following booking form can be used for a maximum of two (2) people.
* denotes a mandatory field, however, it is helpful if you can supply as much information as possible.
If you wish to download and print a copy of this form, you may do so by clicking here (pdf).

Passenger 1 :

Passenger 1 Title

Other:

* Passenger 1 Surname (per passport)

* Passenger 1 First Name(s) (per passport)

Known as

Passenger 2 :

Passenger 2 Title

Other:

Passenger 2 Surname (per passport)

Passenger 2 First Name(s) (per passport)

Known as

* Postal Address

Delivery Address (courier)

* Telephone (home)

Telephone (work)

Telephone (mobile)

* E-mail

* Confirm E-mail

Fax

Passenger 1 :

Passenger 1 Number

Passenger 1 Country

Other:

Passenger 1 Expiry Date

Passenger 1 Date Of Birth

Passenger 2 :

Passenger 2 Number

Passenger 2 Country

Other:

Passenger 2 Expiry Date

Passenger 2 Date Of Birth

Please note you may submit this booking form without these details but they must be supplied before we can complete your booking. You must also provide a copy of the photo page of your passport to Williment Sports Travel. Please click here for our contact details.

Please book me on the following:

5 Day "Inclusive" Tour

Barry Sheene Pit Straight
Chicane
VIP 500 Club
Other

5 Day "Land Only" Tour

Barry Sheene Pit Straight
Chicane
VIP 500 Club
Other

For Two

I will be sharing a room with

We will require a
Twin room (2 single beds)
Double room (1 double bed)
Triple room (1 queen, 1 single bed)

For One

I will take a single room at the supplementary cost
Please share me with someone appropriate, on the understanding that in the unlikely event that a room mate cannot be found, I agree to pay the single supplement

I would prefer to depart from / return to :

Auckland
Wellington
Christchurch

Please book additional flights to the above gateway from / to and advise the cost.

Please indicate your shirt size (chest) :

Please forward an application form for Williment Sports Travel COMPREHENSIVE Travel Insurance Proposal (Special cost of $38 for 5 days).

- OR -

I will arrange my own travel insurance and indemnify Williment Sports Travel of all responsibility

Payment method

Internet Banking
Cheque
Visa
Mastercard

Please contact your WST Consultant for Bank account details.

I / We have read, understood and accept the Terms & Conditions attached to this package.

Date

Submit form to

Wellington Office Auckland Office
Bay of Plenty Office Christchurch Office

Clipsal 500, 2009 Booking Form
By completing the following form you are not guaranteeing a successful booking, all bookings are subject to availability. The following booking form can be used for a maximum of two (2) people. * denotes a mandatory field, however, it is helpful if you can supply as much information as possible. If you wish to download and print a copy of this form, you may do so by clicking here (pdf).
Personal Details
Passenger 1 :
Passenger 1 Title	Other:
* Passenger 1 Surname (per passport)
* Passenger 1 First Name(s) (per passport)
Known as
Passenger 2 :
Passenger 2 Title	Other:
Passenger 2 Surname (per passport)
Passenger 2 First Name(s) (per passport)
Known as
* Postal Address
Delivery Address (courier)
* Telephone (home)
Telephone (work)
Telephone (mobile)
* E-mail
* Confirm E-mail
Fax
Passport Information
Passenger 1 :
Passenger 1 Number
Passenger 1 Country	Other:
Passenger 1 Expiry Date
Passenger 1 Date Of Birth
Passenger 2 :
Passenger 2 Number
Passenger 2 Country	Other:
Passenger 2 Expiry Date
Passenger 2 Date Of Birth
Please note you may submit this booking form without these details but they must be supplied before we can complete your booking. You must also provide a copy of the photo page of your passport to Williment Sports Travel. Please click here for our contact details.
Choice of Package
Please book me on the following:
5 Day "Inclusive" Tour	Barry Sheene Pit Straight Chicane VIP 500 Club Other
5 Day "Land Only" Tour	Barry Sheene Pit Straight Chicane VIP 500 Club Other
Accommodation Information
For Two	I will be sharing a room with We will require a Twin room (2 single beds) Double room (1 double bed) Triple room (1 queen, 1 single bed)
For One	I will take a single room at the supplementary cost Please share me with someone appropriate, on the understanding that in the unlikely event that a room mate cannot be found, I agree to pay the single supplement
Flight Information
I would prefer to depart from / return to :
Auckland Wellington Christchurch
Please book additional flights to the above gateway from / to and advise the cost.
Tour Gear
Please indicate your shirt size (chest) :
S (90 cm) M (95 cm) L (100 cm) XL (105 cm) 2XL (110 cm)
Travel Insurance
Please forward an application form for Williment Sports Travel COMPREHENSIVE Travel Insurance Proposal (Special cost of $38 for 5 days).
- OR -
I will arrange my own travel insurance and indemnify Williment Sports Travel of all responsibility
Deposit Details
Payment method	Internet Banking Cheque Visa Mastercard
Please contact your WST Consultant for Bank account details.
Terms and Conditions
I / We have read, understood and accept the Terms & Conditions attached to this package.
Date
Submit form to	Wellington Office Auckland Office Bay of Plenty Office Christchurch Office