Spears Travel presents

~Total Eclipse Australia - 2012~
Please fill out one registration form for each person

Full Name:    Date of Birth: (mm/dd/yyyy)

Address:
City: State/Prov.:
Country : Zip/Postal Code:

Home Phone: Work Phone:  Fax:
Email:

Passport Information:
Passport Number:   Expiration Date: (mm/dd/yyyy)
            (Please note that your passport must be valid 6 months beyond the end of the trip)
Date of Issue: (mm/dd/yyyy)    Country of Citizenship:
Full Name as it appears on Passport:

Pricing Information:
Without Air (Land Only) Tour Price Per Person:
Double - 5,645.00 Single – 6,985.00
(Prices include domestic air within Australia)
We will have blocked air available for sale on Qantas Airlines from LAX

Cairns ONLY!
Without Air (Land Only) Tour Price Per Person:
Double - 4,320.00 Single – 5,365.00
Air not included
(Circle which option you select)


(Pricing is subject to change based on foreign currency fluctuations)
Travel Insurance is highly recommended!
Travel insurance must be paid at time of deposit!  
Call for details or Purchase Here.

Any special requests?

First name requested for name badge:


If you will need international air
Please state your departure city below:


Payment Information:

Payment Schedule:	CANCELLATION POLICY: Cancel After: Penalty: Dec. 31, 2011  $1000.00 per person Mar 31, 2012 $2,000.00 per person May 31, 2012  No Refund
A deposit of $1000.00 per person will hold your space!! Travel insurance must be paid at time of deposit and is non- refundable.
Second deposit of $2,000.00 per person due December 31, 2011
Final payment due May 31, 2012
Credit Card Payments: You may print this form along with our credit card authorization form and fax, mail or email it to Spears Travel at the address or fax number below. Check or Money Orders: Please print this form and mail it along with your check, cashier’s check or money order made payable to/Spears Travel to the address below

Terms and Conditions:
In offering this tour itinerary or any other travel arrangements for sale, Spears Travel acts only as an agent. Spears Travel maintains no control over the personnel, equipment or operations of any supplier and assumes no responsibility for, and shall not be expected, asked, or required to pay for any financial loss, personal injury, property damage, other loss, accident, delay, inconvenience, or irregularity which you may experience either by reason of: 1) nonperformance by any supplier for whatever reason, 2) wrongful, carelessness, negligent or unauthorized acts or omissions on the part of any supplier or its employees or on the part of any other party not under the control of Spears Travel, or 3) any defect, breakdown or other failure of any aircraft, train, automobile, ship accommodations or other equipment or instrumentality owned, operated or otherwise used by a supplier.

Prices are subject to change without notice. Reasonable changes in the itinerary may be made where necessary or deemed advisable for the comfort and well being of the passengers by Spears Travel. Spears Travel reserves the right to cancel this trip for any reason and agrees to refund all monies paid by passengers less non-refundable deposits paid to suppliers and contractors. On advancement of deposit, the depositor agrees to be bound by the terms and conditions stated. All rates quoted by the tour company are based on double occupancy and do include taxes for air, hotel or other transportation unless otherwise stated.


Please Read: Travel Documentation Notice

Mandatory Signature: Trip Cancellation/Interruption Insurance Waiver Form

Contact Information:
For additional information contact Gary Spears
You may also call us during office hours at Spears Travel - Phone (800) 688-8031 or fax (918) 337-3630. (Hours are 8:30am – 5:00pm M-F) Local – 918-336-2360 (Central time zone)

Please print, sign and return to:
Spears Travel, P.O. Box 1256, Bartlesville, OK 74005

By signing below I acknowledge that I have read and understand the “terms and conditions” and the “Travel Documentation Notice” and have also been offered travel insurance policy information.


Signature: _______________________________________ Date: _________________________