Coach Tours of Australia / Melbourne Travel Club

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Melbourne Travel Club
MEMBERSHIP APPLICATION FORM

* indicates required fields

Title

First Name

Family Name

Person 1*:

Person 2:

POSTAL ADDRESS
Address*:
Town/Suburb*:
State/Postcode*:
Country*:

CONTACT DETAILS*
Phone:
Mobile:
Email:

* We require either an email address or a home or mobile phone number for each application.
* Please note that our regular "Travel Talk" newsletter is only posted to Australian addresses.

What tour destinations are you interested in? (e.g: Blue Mountains, Kangaroo Island, Day Tours, Christmas Tours, Murray River Cruises, Central Australia, WA Wildflowers etc.)

Details:

How did you hear about us? (e.g: Newspaper, Magazine, Internet Search, Referral from a friend, Travel Agent etc.)

Details:

Are you a member of a group or club (e.g. Probus, U3A, Legacy, Retirement Village etc.)?
Yes No

If Yes, what is the name of your club?