The Ultimate UK, Ireland & Paris Experience

Please Read First

It is very important that the information you provide on this form is true and correct

We do require a copy of your passport, please ensure you upload that to the form. It is kept securely on a private server

Your passport needs a minimum of 6 months validly from the date we return so it needs to be valid until February 2025

If you do not have travel insurance yet please put pending in the form, Travel Connex will provide you with some insurance options,

Please note it is mandatory to have travel insurance for this trip, if you choose not to take it out then you will be asked to sign a waver.

Every traveller needs to complete an individual registration form

Your Information

Full Name as per Passport *

Date of Birth *

Phone *

Email *

Street Address

City

State

Country

Postal code

Emergency Contact Information

Next of Kin *

Emergency Contact Number *

Relationship *

Travel Insurance & Passport Information

Insurance Provider *

Insurance Policy Number

Passport Number # *

Origin *

Date Issued *

Passport Expiry Date *

Please Upload a Copy of Your Passport *

Passport Copy

Flight Information

This tour is fully escorted from Melbourne, Australia. If you're departing from another Australian capital city, just let us know your plans in advance. As a registered travel agency, Travel Connex can assist with all your flight arrangements—whether you’re joining the group in Melbourne or flying from an alternate departure point.

What city are you departing from?

Do you want to depart Melbourne with the group?

Would you like Travel Connex to book your flight for you?

Yes please

No thank you, Ill do it myself

I understand that if I book my own flights, I do so at my own risk and am responsible for arriving on time. Missed days are non-refundable.

I agree and understand

Flight Special Requests

Additional Flight Information

Paris Optional Add On

Several of our travellers have shown interest in extending their stay in Paris after the tour, so we’re putting together an optional 2-day add-on. Would you be interested in joining this extension?

Paris Add On

Yes please, send me the information

No thanks, ill depart Paris on day 21 of the tour as planned.

Rooming Information

Rooming Acknowledgment *

I understand that the rate quoted is on a twin share basis and I am happy for Travel Connex to assign me a room mate.

I would like to request a single room (Single Supplement is $1950pp extra)

Are you travelling with anyone?

Do you want to share a room with this person?

Yes

Not Necessarily

General Information

Comments

Payment

To secure your spot on this tour package there is a deposit required of $4000 per person. Once your registration form has been received we will send you an invoice for the deposit amount.

Final payment will be required by the 02nd June 2025

Acknowledgement and Agreement

I acknowledge that I have read and agree to terms & conditions provided by Travel Connex. I agree to receive emails from the business.

I acknowledge that my spot on this tour is not confirmed until I pay the deposit of $4000per person. I understand that the final balance will be required by 02nd June 2025

Signature *

Clear

Thank you for taking the time to complete this form—we’ll be in touch shortly with your deposit invoice.

On the next page, you’ll have the option to request a travel insurance quote. If you’d like us to provide a quote, simply complete the form and we’ll get back to you as soon as possible.

Please note that travel insurance is compulsory for this tour. If you choose to arrange your own, we’ll need a copy of your policy and a signed waiver confirming that we offered you the option.

Keep an eye on your inbox—we’ll be sending through lots of important details and helpful travel tips in the lead-up to your adventure.

We’re thrilled to have you on this journey with us!

You Are In!!

We are so excited that you are joining us on this once in a life time experience, our main goal is to ensure that you have a relaxed, stress free and memorable experience.

The last thing we will ask you to do is to join our private Facebook group so that you can stay up to date with all details of this trip.