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July School Cycle Challenge


Register for the trip

A memorable adventure to share with a parent, child or loved one.

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July School Cycle Challenge


Register for the trip

A memorable adventure to share with a parent, child or loved one.

Thank you for choosing to join the 2018 July School Cycle Challenge.

To secure your booking, please complete the below form separately for each person travelling with PROJECT FUTURES.  Please ensure you familiarise yourself with the booking terms and conditions prior to completing this transaction.

Date:  Monday 2 July - Wednesday 11 July

Deposit required:  $500   |   Trip Cost:  $1,999 + flights   |   Fundraising Target:  $3,000 per person

Please complete the form below

Planned Departure Date
Planned Departure Date
If you are planning on departing for Cambodia earlier, please advise.
PERSONAL DETAILS
Name *
Name
Date of Birth *
Date of Birth
Room Share *
If sharing, please advise the name of your buddy to ensure that you are placed together
Residential Address *
Residential Address
Next of Kin Name *
Next of Kin Name
Next of Kin Phone Number *
Next of Kin Phone Number
To ensure the bike size is suitable for your height.
PASSSPORT DETAILS
NOTE: A currently, valid passport with at least 6-months until expiry at the time of departure is required. For some destinations a passport valid for even longer after the departure date is required.
NOTE: If you do not have this at time of booking, please provide prior to departure. It is a condition of travel that you organise travel insurance for your trip.
MEDICAL & DIETARY INFORMATION
Significant/recurrent illness or hospitalisation *
If Yes, please provide details.
High Blood Pressure or Heart Condition *
Allergies, reactions to drugs or food *
Regular Medication *
Note: this refers specifically to medically prescribed medications
Asthma, diabetes or epilepsy *
PAYMENT DETAILS
After submitting this booking, a member of the PROJECT FUTURES team will contact you within two working days to process your deposit payment. Your deposit can be paid via credit card (visa/mastercard/AMEX) or via direct debit. If you are paying via direct debit, please be sure to include your Surname and first initial (eg. PEARSON C) as the payment reference. For direct debit/bank transfers (within Australia only), our banking details are: Account name: PROJECT FUTURES Ltd BSB: 012-361 Account number: 180659178 International participants will need to pay via credit card (incurring a 2% surcharge fee). Please allow up to 5-working days for tax invoice to be sent. All amounts shown are in Australian Dollars ($AUD) You must be fully covered by Travel Insurance in order to proceed with the trip; details are required a minimum of 14-days out from departure date.
CONFIRMATION OF DETAILS
*
*