Vintec Club Wine Tour

Traveller Details

Title

First Name (As per passport)

Last Name (As per passport

Email Address

Verify Email Address

Mobile

Primary Address

Street Address

City

State

Postcode

Dietary Requirements

Please select any dietary requirements you may have:

Dietary Requirements

Emergency Contact

Please advise the best contact should we need to contact someone back home in an emergency

Emergency Contact Name

Emergency Contact Mobile Number

Single TravellerFULL

Thank you for your interest in the Vintec Club Wine Tour but unfortunately we are now full. We will add you to the Waitlist and be in touch should anyone cancel.

Please add me to the waitlist

AMOUNT

AUD 7,200.00

TOTAL

Double TravellerFULL

Thank you for your interest in the Vintec Club Wine Tour but unfortunately we are now full. We will add you to the Waitlist and be in touch should anyone cancel.

Please add me to the waitlist

AMOUNT

AUD 6,000.00

TOTAL

Accompanying Traveller

Please indicate the passport name of your accompanying travellor

Thank you for your interest in the Vintec Club Wine Tour but unfortunately we are now full. We will add you to the Waitlist and be in touch should anyone cancel.

Please add me to the waitlist

AMOUNT

AUD 6,000.00

TOTAL

Preferred Name

Title

First Name

Last Name

Passport Name

First Name (as per Passport)

Last Name (as per Passport)

Dietary Requirements

Attendee App

I would like to Opt In - share my contact details

I would like to Opt Out - do not share my contact details

Vintec Club Wine Tour would like to use an app both in the lead up and onsite to communicate with you and other attendees. Please select below if you are willing to allow your details shared with other tour guests.

Please select the help text if you would like more information on these policies.

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