TODAY *

FLIGHT OPTION *

DROP OFF / PICK UP / OTHER DETAILS

NO. OF PASSENGERS *

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PASSENGER 1 DETAILS

FIRST AND LAST NAME *

PHONE

POSTCODE *

EMAIL *

WEIGHT (kg) *

Passenger 1, named above, hereby agrees that I personally entered my details on the Barossa Helicopters Passenger Manifest standing in store, on the date above, paid for the experience with the method listed and flew in the helicopter at my own free will.

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PASSENGER 2 DETAILS

FIRST AND LAST NAME *

PHONE

POSTCODE *

EMAIL *

WEIGHT (kg) *

Passenger 2, named above, hereby agrees that I personally entered my details on the Barossa Helicopters Passenger Manifest standing in store, on the date above, paid for the experience with the method listed and flew in the helicopter at my own free will.

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PASSENGER 3 DETAILS

FIRST AND LAST NAME *

PHONE

POSTCODE *

EMAIL *

WEIGHT (kg) *

Passenger 3, named above, hereby agrees that I personally entered my details on the Barossa Helicopters Passenger Manifest standing in store, on the date above, paid for the experience with the method listed and flew in the helicopter at my own free will.

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HOW DID YOU FIND US?

ADMINISTRATION

PAYMENT METHOD & REFERENCE

ETD*

HELICOPTER

PILOT

STAFF