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No.8 Tours-
New Zealand's Senior Travel Club
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Email Address
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Title
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First Name (as per passport)
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Preferred First Name
Last Name
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Date Of Birth - dd/mm/yyyy
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Street Address
Retirement Village, Estate etc (Optional)
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Post Code
Landline No
Mobile No.
Airpoints Number
Emergency Contact (name & number, relationship)
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eg Mary Smith 06 765 8974 Daughter
Special Dietary Requirement
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Mobility Level
1- Climbs stairs Easily
2- Climb Stairs Slowly
3- Climbs Stair Requiring Assistance
4- Not able to climb Stairs
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