BOOKING FORM

Contact Information
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FIRST NAME*
LAST NAME*
EMAIL*
PHONE NUMBER*
Address*
BILLING ADDRESS City State / Province / Region ZIP / Postal Code Country

Additional Information
FREQUENT FLYER NUMBER
GLOBAL ENTRY NUMBER
SEAT PREFERENCE
DIETARY REQUIREMENTS
ALLERGIES
T-SHIRT SIZE
ADDITIONAL INFORMATION, COMMENTS OR SPECIAL REQUESTS
Referral Information
TELL US HOW YOU HEARD ABOUT OURS?
PLEASE SPECIFY.
Untitled*
- I acknowledge and confirm that I have read, understand and agree to all Waterways Travel Terms and Conditions
Untitled*
- I am aware that a "Beau Proprietary Pte Ltd." trip, in addition to usual and inherent risks, has certain additional risks and dangers which may include: physical exertion for which I may not be prepared; remoteness to normal medical services; weather extremes subject to sudden and unexpected change; and evacuation difficulties if I am disabled.
Untitled*
- I accept all inherent risks of the proposed trip and possibility of personal injury, death, property damage or loss resulting therefrom.
Untitled*
- In entering into this agreement, I am not relying on any oral, written, or visual representations or statements by WaterWays Travel, its agents or staff, or any other inducement or coercion to go on the trip, hence, only of my own free will.