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Booking Form
Please fill out the booking request form below:
Booking Information
Call us today on 1300 788 002 or simply fill out the quick and easy booking form below:
I
accept the Restored Beauty Getaways Price Guide.
Email Address:
Passport Number:
I understand that the payment of the A$450 is for the booking confirmation, it is non refundable.
I understand the I pay the cost of my procedure to the Hospital after my initial consultation with my surgeon/doctor.
Preffered Payment Method
In relation to my booking confirmationI elect to utilise the following payment option for the A$450
Cash
Credit Card
Cheque
Bank Transfer
(Restored Beauty will advise of Bank Account Details)
Please mail your cheque to:
Restored Beauty Getaways Pty Limited
PO Box 443
Maylands WA 6931
Disclaimer:
Please read the
disclaimer
carefully because it is an essential contractual condition of all bookings accepted by Restored Beauty Getaways.
I have read, acknowledged and fully understand the
disclaimer
On receipt of this Booking Form and the confirmation, Restored Beauty Getaways will respond with completed Procedure arrangements and hospital registration and other necessary documents.