Are you a Travel Agent?
Yes
No
Do you have a Travel Agent?
Yes
No
Travel Agency
Travel Agent Name
Expedition Choice
Quote / Booking
Would you like to hold the cabin or request a quotation?
Please select...
Hold cabin
Request quotation
Agent Information
First Name
Last Name
Email
Contact Phone
Travel Agency
Country
Please select...
Australia
United States
Afghanistan
Antigua and Barbuda
Anguilla
Albania
Armenia
Angola
Antarctica
Argentina
Austria
Aruba
Aland Islands
Azerbaijan
Bosnia and Herzegovina
Barbados
Bangladesh
Belgium
Burkina Faso
Bulgaria
Bahrain
Burundi
Benin
Saint Barthélemy
Bermuda
Brunei Darussalam
Bolivia
Bonaire, Sint Eustatius and Saba
Brazil
Bahamas
Bhutan
Bouvet Island
Botswana
Belarus
Belize
Canada
Cocos (Keeling) Islands
Congo, the Democratic Republic of the
Central African Republic
Congo
Switzerland
Cote d'Ivoire
Cook Islands
Chile
Cameroon
China
Colombia
Costa Rica
Cuba
Cape Verde
Curaçao
Christmas Island
Cyprus
Czech Republic
Germany
Djibouti
Denmark
Dominica
Dominican Republic
Algeria
Ecuador
Estonia
Egypt
Western Sahara
Eritrea
Spain
Ethiopia
Finland
Fiji
Falkland Islands (Malvinas)
Faroe Islands
France
Gabon
United Kingdom
Grenada
Georgia
French Guiana
Guernsey
Ghana
Gibraltar
Greenland
Gambia
Guinea
Guadeloupe
Equatorial Guinea
Greece
South Georgia and the South Sandwich Islands
Guatemala
Guinea-Bissau
Guyana
Hong Kong
Heard Island and McDonald Islands
Honduras
Croatia
Haiti
Hungary
Indonesia
Ireland
Israel
Isle of Man
India
British Indian Ocean Territory
Iraq
Iran, Islamic Republic of
Iceland
Italy
Jersey
Jamaica
Jordan
Japan
Kenya
Kyrgyzstan
Cambodia
Kiribati
Comoros
Saint Kitts and Nevis
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Cayman Islands
Kazakhstan
Lao People's Democratic Republic
Lebanon
Saint Lucia
Liechtenstein
Sri Lanka
Liberia
Lesotho
Lithuania
Luxembourg
Latvia
Libyan Arab Jamahiriya
Morocco
Monaco
Moldova, Republic of
Montenegro
Saint Martin (French part)
Madagascar
Macedonia, the former Yugoslav Republic of
Mali
Myanmar
Mongolia
Macao
Martinique
Mauritania
Montserrat
Malta
Mauritius
Maldives
Malawi
Mexico
Malaysia
Mozambique
Namibia
New Caledonia
Niger
Norfolk Island
Nigeria
Nicaragua
Netherlands
Norway
Nepal
Nauru
Niue
New Zealand
Oman
Panama
Peru
French Polynesia
Papua New Guinea
Philippines
Pakistan
Poland
Saint Pierre and Miquelon
Pitcairn
Palestinian Territory, Occupied
Portugal
Paraguay
Qatar
Reunion
Romania
Serbia
Russian Federation
Rwanda
Saudi Arabia
Solomon Islands
Seychelles
Sudan
Sweden
Singapore
Saint Helena, Ascension and Tristan da Cunha
Slovenia
Svalbard and Jan Mayen
Slovakia
Sierra Leone
San Marino
Senegal
Somalia
Suriname
South Sudan
Sao Tome and Principe
El Salvador
Sint Maarten (Dutch part)
Syrian Arab Republic
Swaziland
Turks and Caicos Islands
Chad
French Southern Territories
Togo
Thailand
Tajikistan
Tokelau
Timor-Leste
Turkmenistan
Tunisia
Tonga
Turkey
Trinidad and Tobago
Tuvalu
Taiwan, Province of China
Tanzania, United Republic of
Ukraine
United Arab Emirates
Uganda
Uruguay
Uzbekistan
Holy See (Vatican City State)
Saint Vincent and the Grenadines
Venezuela
Virgin Islands, British
Vietnam
Vanuatu
Wallis and Futuna
Samoa
Yemen
Mayotte
South Africa
Zambia
Zimbabwe
Passenger Details
First Name
Last Name
Has the passenger travelled to the Polar Regions before?
Please select...
Yes - Antarctica
Yes - Arctic
Yes - both Antarctica and the Arctic
No, not to any polar region
Is the passenger interested in participating in the following workshops:
Please select...
Writing workshop | 35 spots | FREE
Fine arts painting (Modern) | 20 spots | FREE
Fine arts painting (Watercolour) | 20 spots | FREE
Photography workshop | 20 spots | FREE
Speaking workshop | 35 spots | FREE
None of the above
Does the passenger wish to participate in Scuba Diving or Sea Kayaking?
Please select...
Scuba Diving
Sea Kayaking
Neither
Cabin Preference
How Many Travellers?
Please select...
1
2
3
4
5
6
How Many Cabins?
Please select...
1 Cabin
1 Cabin
2 Cabins
1 Cabin
2 Cabins
3 Cabins
2 Cabins
3 Cabins
4 Cabins
2 Cabins
3 Cabins
4 Cabins
5 Cabins
2 Cabins
3 Cabins
4 Cabins
5 Cabins
6+ Cabins
Cabin Category
Please select...
Balcony Stateroom Superior - US $24,880pp / AU $36,595pp
Aurora Stateroom Superior - US $19,980pp / AU $29,395pp
Aurora Stateroom Triple - US $18,480pp / AU $27,195pp
Balcony Stateroom Category A - US $22,880pp / AU $33,695pp
Balcony Stateroom Category B - US $21,480pp / AU $31,595pp
Balcony Stateroom Category C - US $20,480pp / AU $30,195pp
Balcony Stateroom Superior - US $24,880pp / AU $36,595pp
Junior Suite - US $30,880pp / AU $45,395pp
Cabin Preference
Please select...
I am happy to share a cabin with a same-gender traveller
I wish to occupy a cabin to myself and pay the sole occupancy surcharge
I wish to occupy a cabin with my travelling party
I am happy to share a cabin with a same-gender traveller
I wish to occupy a cabin with my travelling party
I am happy to share a cabin with a same-gender traveller
I wish to occupy a cabin to myself and pay the sole occupancy surcharge
I wish to occupy a cabin with my travelling party
I am happy to share a cabin with a same-gender traveller
I wish to occupy a cabin to myself and pay the sole occupancy surcharge
I wish to occupy a cabin with my travelling party
I am happy to share a cabin with a same-gender traveller
I wish to occupy a cabin to myself and pay the sole occupancy surcharge
I wish to occupy a cabin with my travelling party
I am happy to share a cabin with a same-gender traveller
I wish to occupy a cabin to myself and pay the sole occupancy surcharge
I wish to occupy a cabin with my travelling party
I wish to occupy a cabin to myself and pay the sole occupancy surcharge
I wish to occupy a cabin with my travelling party
Optional
Comments or Requests
I want to receive communications from Aurora Expeditions
SF_GA_ID