Australia - Coconut Beach Rainforest Lodge - Queensland - Vacations International


Your Name: ( FIRST & LAST )   
Birth Name as on Passport		 Your Age   
Age at time of Travel		 For travel insurance purposes only

Your E-mail address:

Travel Companion's Name:
          ( FIRST & LAST )

 
 Birth Name as on Passport

Companion's Age 
Age at time of Travel

 For travel insurance purposes only
Number of Children Traveling        Children's Ages - Separated by a Dash i.e. ( 2-12 )  
Would you like to receive a phone call from a Travel Consultant ?  Yes  No
Quote is for a Honeymoon  Anniversary  Couples  Family  Group  Singles  Other  style Vacation.

Contact Phone Numbers:

Night Phone Number  
Day Phone Number     
Time to call Time Zone                         

We spend a fair amount of resources working on quote requests.  A valid phone number is very important as it gives us the opportunity to contact you in a timely manner when important questions arise.

Approximate Travel Budget:

What is your approximate budget per person?

Planned Departure Date:
 Month     Day     Year   Preferred Time:
If further away than 7 months away Air may not be able to quote
Planned Return Date: Month     Day     Year   Preferred Time:
Planned Departure Airport:   ( Important for accurate price quotes. )
Questions, Comments or Suggestions?  (If you already have a quote please let compare!) Email: vacationsinter@earthlink.net