Kimberley Cruise Center

Use our handy booking service to ensure your spot on a once in a lifetime adventure!

Once this form is completed we'll get an email letting us know all your travel details and will contact you within the next 5 working hours.

Cruise Details

Tour/Vessel Name MV Diversity II
Tour Departure Date*
Tour Arrival/Return Date
Cabin Type
Allocation
1. Twin Share
2. Sole Use
Cost (per person) (AUD)

Passenger Information

1. Passenger – Remove This Passenger
2. First name*
3. Surname*
4. Medical Needs*
5. Dietary Needs*
6. Date of Birth*
7. Weight* what's this?
8. Special Occasion
+ Add Another Passenger

Correspondence

Street Address*
City/Suburb*
State*
ZIP/PostCode*
Country
Home Phone*
Work Phone
Mobile
Fax
Email*

Travel Insurance

Would you like Kimberley Cruises to arrange insurance on your behalf?

Travel

Arrival Details
Accommodation Details/Requests
Departure Details/Requests

Emergencies

Emergency Contact Name*
Emergency Contact Phone*

Payment

Payment Method*

I have read and understood the terms and conditions*