AUSTRALIAN VISITORS VISA

APPLICATION FORM
(Please print this form, fill-in your details then send it back to us via Fax or Post)

About Australia’s Reference # (if applicable):

Please attach a copy of each travelers passport so we can process their Visas/ETAs (Electronic Travel Authorities) for entry into Australia. Please ensure that you re-write on the fax all the relevant passport details just in-case the passport copies do not transmit clearly. Information required for each traveler:

* Passport Number

* Nationality

* Date Of Birth (DDMONYYYY)

* Sex (M/F)

* Country of Birth

* Passport Expiry Date (DDMONYYYY)

* Family Name (Last Name)

* Full Names (Given Names)

The issuance fee is $15 per Visa.

Number of Visas to be issued: ______

Visas are not required for Australian Citizens who will enter Australia using their Australian Passports.

If you require more information on Visas/ETAs please go to www.eta.immi.gov.au

Paying by Credit Card: (Please Circle one): Visa / Mastercard / Discover / AMEX

Card Holder’s Full Name:

Card Number:

Card Expiration Date (MM/YYYY):

Amount to be charged: USD$

Card Holder’s Signature:

Billing Address:

Today’s Date (MM/DD/YY): / /

TERMS AND CONDITIONS

(Please initial each of the 3 clauses to show that you have read and understand each one).

____ 1) I authorise About Australia to charge my credit card $15 Issuance Fee per Visa/ETA required for entry into Australia.

____ 2) Please ensure we receive your form and payment within a timely manner. About Australia is not responsible for loss associated with entry Visas.

____ 3) I agree that I will not hold About Australia, it directors, employees, shareholders, agents and other representatives, under any circumstances, liable for any injury, loss or damage arising out of or related to my trip overseas. This limitation of liability includes, but is not limited to, compensatory, direct, indirect or consequential damages, loss of information, income or profit, loss of or damage to property and third party claims.

PLEASE PRINT THIS FORM

THEN FILL IN YOUR DETAILS AND SEND IT TO US BY FAX (210-5416755) OR POST

Please do not send credit card or passport details via email.

About Australia, 401 Isom Road, Suite 360, San Antonio, Texas, 78216, USA, Phone 210-2991077, Fax 210-5416755

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