First Name *                                Surname                                                    Age Group

Title Mr Mrs Ms Dr             choose one below 18 - 25 26 - 35 36 - 50 over 50 over 70

Contact:*  E-mail :   Telephone number  :   fax:          

  Address:

Number in Party - Adults 1 2 3 4 5 6 7 8 more

Children    0 1 2 3 4 more     Age of Child Over 12, under 18 none Under 12, over 5     Infants    0 1 2 3

Full Names of Travellers:   1.             3.                

        (as in Passports)             2.             4.            

    Flight Arrival from         Time  

   Dates requested *                            (* = required fields)

Mulu Park(ML1) MY 1 or 2 - Sarawak(10-14 days) Bario Tour(BA1) MK1-Mt Kinabalu Room at "TreeTops" Kuching Tailored Holiday        < choose one or more (hold down Ctrl) of these

Comments or Questions (up to 40 characters):   

or fill in the following:-

 Special Requirements (tick box)  Vegetarian  Handicapped   Allergies  Special Medication  Other (please specify)
What is the length (in days) of your anticipated trip ?

Which of the following activities are you interested in ?
(Check all that apply)

What type of accommodation do you prefer ? Lodges Small hotels Resorts

 

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