Booking Form

• Book the adventure of a lifetime now! Or book your place in one of our awesome trek training programs.
• Please fill in your details below, submit the booking form, then pay via the payments page - register/log in to pay by credit card and our Client Services Manager will be in touch to confirm your booking.
• If you have already made a booking and just want to pay by credit card, please click HERE
• If you prefer to pay by online transfer, please make sure you put your name as reference when you submit payment via your bank.
• Please make online payments to:Wild Women on Top, Commonwealth Bank BSB 062 197 Account 10463495
• Please note you must be a current Wild Women on Top Member to access our Trips and Training.
• Read our REFUND & CANCELLATION policy here
• MEDICAL FORM FOR TRIPS available HERE
• *Hard Core Discount: Please note the following conditions apply for Hard Core Members who Trek Train for more than 1 year and Trek Training Members with more than 2 years coninuous Trek Training:
  10% discount on Trek Training if payment in full is received before term commences (non refundable)
  20% discount on Wild Weekenders if payment in full is received at least 30 days prior to the trip (non refundable)

**Please refer to the trip itinerary to see exactly what is included in the trip costs for your Wild Weekend. Costs EXCLUDE flights and vehicle transfers.

Name*

Phone Number*

Email*

(email address)

Which event, Wild Walk or Training are you booking?*

Annual Membership, NEW, $77 Trek Training Term 4, $417 Newbies Term 4, $317 Wild Bootie Camp Term 4, $317 2 x 3hr p/wk Trek Train, $757 2 x 2hr Newbies, $577 1 x 3hr PLUS 1 x 2hr p/wk, $667 Brooklyn Burn, Kozi Assess, 7 Nov, $107 Freda Kosi Climb, Member $447 Freda Kosi Climb, non member, $524 Historic Passes Wild Walk, 23 Oct, $107 Sneak Peak Christmas, 10 Dec, free! Sunday sessions, $197 Spring Day 4 Sunday Wild Walks, $197 HC discount Trek T $377 1 Year Trek Train, $1487 Gift Voucher Trek T inc M/ship, $487 Wild Walk Half Day $67 Wild Walk Full Day $107 Wild Weekender, $337 Wild 5 Pack Trek Train, $229* Wild 5 Pack Newbies $179* Online Training Program, $37

Are you currently a Wild Women on Top Member?*

YES NO

Which Training Group do you belong to?

Select ... Mon Wild Night Bootie Camp 7.30pm Mon Upper North Shore Mod Sq 9.30am Mon Bondi Mod Squad 7.30pm Tues Mosman Mod Squad 9.30am Tues Lower N Shore Newbies 7.30pm Wed Manly Mod Squad 7.30pm Wed Inner West Newbies 7.30-9.30pm Thurs North Shore Mod Squad 7.30pm Fri Manly Mod Squad 9.30am Fri E Suburbs Newbies 9.30am Interstate / Online Member

Payment Method

By EFT By Credit Card By Cheque

Amount Paid*

Payment Date*

(DD/MM/YYYY)

Payment Reference

Comments

Promo Code

For Trips: I have completed a Medical Form for Trips - your booking can't be confirmed without this (see link above, or in Member Forms)*

YES NO, not applicable for training booking

I have read and accept the Refund Policy for Trips & Training in the Terms & Conditions*

YES

Verify*