EXPEDITION ---MADIGAN LINE (EAST)MADIGAN LINE (WEST)EXPEDITION SIMPSON (EAST)EXPEDITION SIMPSON (WEST)ONE ROAD (CSR)SAND & STONECAPE YORK
**PARTICIPANTS
NAME SURNAME MOBILE EMAIL
ADDRESS
**ADDITIONAL PARTICIPANTS
**DRIVER DETAILS
LICENCE STATE ---ACTNSWNTQLDSATASWAVIC NAME LICENCE No.
**VEHICLE DETAILS
VEHICLE MAKE MODEL No. YEAR COLOUR REGISTRATION FUEL-TYPE ---DIESELUNLEADED CAPACITY (Litres)
**VEHICLE ACCESSORIES WINCH DIFF LOCKS ROOF RACK UHF RADIO
**4WD EXPERIENCE ABILITY NOVICE LIMITED MEDIUM EXPERIENCED
**OTHER - Please list any certified skills and competencies that you may hold that would be relevant to the expedition. eg 1st AID, Mechanic, Naturalist etc.
Confirmation is made when Booking Form and Deposit of $500 + GST have been receipted. Balance must be paid at least 30 days prior to the tour departure date.
By ticking the box you accept the Terms and Conditions including the release of liability, indemnities and warranty of authority set out in those Terms and Conditions.
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