Pilgrimage 2019 Booking Form

Pilgrimage 2019 Booking Form
Welcome to the booking form for the 2019 Pilgrimage.

The form is completed in two ways:

1. Online by completing the questions

2. Obtaining the paper form to print out complete and post to:

The Secretary

Bushwalking Queensland Inc.

PO Box 12884

George Street QLD 4003

Payment is acceptable:

1. EFT - follow the directions on the payment part of the form

2. Cheque - Please note some banks have ceased chequing facilities
Name of registrant*

First NameLast Name
Address*

Unit No.

Street Address

City/Town/SuburbState

PostcodeCountry
Email
example@example.com
Phone Number
Format: (00) 0000 0000.
Mobile Number
Format: (0000) 000 000.
Club of origin
Name of affiliated club in which the registrant is a member
OTHER PERSONS IN FAMILY/GROUP
Yes - Go to accommodation sectionNo - Please enter names attending from your family/group below

Other persons details

PILGRIMAGE FEES - $25.00 per adult and $0.00 per child
Bed (Adult $27.50 & Child $22.00)Campsite (Adult $17.50 & Child $10.50)
Arrival date*

DayMonthYear
Date of first night
Departure date*

DayMonthYear
Date of last night
FEES TO BE PAID
Number of adults
Number of adults in the registration
Number of children
Number of children in this registration
Number of nights
Number of nights staying at Pilgrimage
Pilgrimage fees: $25.00 per adult Children free
= Number of adults x 25
Note: After 08/09/2019, the Pilgrimage fee is increased to $30.00 per adult.
Accommodation fees (adults)
= No. of adults x no. of nights x accommodation fee
Accommodation fees (children)
= No.of children x no. of nights x accommodation fee
Children's kayaking
Kayaking provided by Camp Laurence incur a $9.50 per child fee
Fee total [$]*
= Pilgrimage fees + Accommodation fees (adult) + accommodation fees (child)+Kayaking fees
EFT/Direct DepositCheque
Address to post cheque:

The Treaurer

Bushwalking QLD Inc.

PO Box 12884

George Street QLD 4003

EFT Details:

BSB: 124 001 (Bank of Qld)

Account Number: 10420474

Reference: [First Name/s Initials][Surname of registrant]

eg. Tony Smith is the registrant - reference is TSmith
Enter the message as it's shown*
Should be Empty: