Book a walk > Online Booking Form Online Booking Form To make a booking please complete this booking form or download a Printable Booking Form. Once we have received your Booking Form we will contact you with your Booking Confirmation and Payment details. Required Fields * STEP 1 Contact Details First name: Last name: Gender: Male Female Business Ph: Home Ph: Mobile: Correspondence Details Email Address: * please re-enter your Email Address: * Street/Postal address: Email preferred            Post preferred City: State/Province Postcode / Zip: Country: STEP 2 Walk Details Number of participants in group: Prepared Walking Itineraries Walk Days: Distance : Grade The Wanderer's Choice Half day : 4kms : easy The Bell's Classic 1 day - 5.5 hours : 10 kms : medium The Shipwreck Coast 1 day - 6 hours : 9 kms : easy Rainforest and Waterfall Splendour 2 day : 15 km : smedium Erskine Falls to the Sea half day Half Day - 3 hours : 7kms : hard The Surf Coast Spectacular 5 day: App 10kms per day : easy to hard Create your Own Experience Customised Walk Please describe your cusomised walk STEP 3 Accommodation Select type of accommodation: Double (included in tour price) Twin Share (included in tour price) Single Room (extra payment) STEP 4 Walk Dates Please select your preferred start date below: Start date: ---- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Select month: ------- January February March April May June July August September October November December Select year: ----- 2009 2010 2011 2012 If the preferred start date is unavailable what other start date/s would be suitable: Start date: ---- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Select month: ------- January February March April May June July August September October November December Select year: ----- 2009 2010 2011 2012 STEP 5 Arrival Method Arrival method & approximate time: How did you hear about Surf Coast Walks? please select Internet Search Visitor information Word of Mouth Other STEP 7 Booking Conditions I have read and agree to Surf Coast Walks Booking Conditions STEP 8 Deposit A deposit of $200 per person or the full amount if less than $200, is required at time of confirmation. The balance is payable one month prior to the start of the walk. Once we have received this form, we will contact you with a Booking Confirmation and payment details. I will pay by Pay Pal I will pay by Credit Card I will pay by Money order (AUS Dollars only) I will pay by direct deposit into Surf Coast Walks bank account STEP 9 Comments  Please enter your comments/questions in the space provided below:

Surf Coast Walks, Great Ocean Road, Victoria, Australia
Email: info@surfcoastwalks.com.au
Phone: +61 1300 5263 1528 (overseas) 03 5263 1528 (Australia) Mobile: 0427 479 679
Fax: 03 5263 1459
Post: PO Box 20 Anglesea 3230 Victoria Australia

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