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ACKNOWLEDGMENT OF TERMS AND CONDITIONS
CLIENT EMERGENCY RECORD FORM AND
CHECK LIST FOR FORMS REQUIRED TO BE COMPLETED

The following forms need to be sent to Unique Frontiers at least 90 days prior to departure:
Unique Frontiers

1. Emergency contact details as per above:
2. Travel insurance policy number:
3. Signed medical form from your doctor:
4. Signed media release form:
5. Signed waiver of liability:
6. Please sign below to acknowledgement that you have read and understood the terms and conditions provided by Unique Frontiers P/L.

P.O. Box 2120 Hawthorn, Victoria, Australia, 3122
p + 61 (03) 9815 0728 f + 61 (03 ) 9815 0728 Completed:

 

 
Unique Frontiers  -   ABN 57 116 651 793    -     P.O Box 2120 Hawthorn, Victoria, Australia, 3122
Phone: +61 3 9815 0728    Fax: +61 3 9815 0729