I…………………………………………………………………..(Full Passport Name) of…………………………………………………………………………………………………………………………………………………………………………………………
(Residential Address) Contact Numbers……………………………………… Declaration……………………………….(Signature) on the Date……………………………………that I have read and understood all pages of this document that form the Terms and Conditions for Winners World Travel to proceed with providing a consultation.

By signing this form it declares that you have read all Terms and Conditions from pages 1 to 4 of this Document and it will legally bind you into a contract with Winners World Travel Pty Ltd trading as Winners World Travel.

WINNERS WORLD TRAVEL PTY LTD
186 Holden Street, Canterbury NSW 2193
ABN 94 118 943 892 Travel Agent Lic 2TA5812
T: 02 9705 7863 F: 02 9705 7861 M: 0401 452 442
E: winnersworldtvl@optusnet.com.au

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