Booking

Fill out the form below to make a booking.


                

                        Itinerary*
Preferred date*
                            
                            DD slash MM slash YYYY
                        
                        
Preferred Time*
                        
                             
                            Hours
                        
                        :
                        
                            
                            Minutes
                        
                        
                                
                                 
                           
                    
Passenger 1 (Primary Contact)
Name*
                            
                            
                                                    
                                                    First
                                                
                            
                            
                                                    
                                                    Last
                                                
                            
                        
Address*    
                    
                         
                                        
                                        Street Address
                                    
                                        
                                        Address Line 2
                                    
                                    
                                    City
                                 
                                        
                                        State / Province / Region
                                      
                                    
                                    ZIP / Postal Code
                                
                                        
                                        Country
                                    
                    
                
Date of Birth*
                            
                            DD slash MM slash YYYY
                        
                        
Weight in kilograms*
IMPORTANT  
Please ensure you provide accurate weight for each of your passengers - this is important due to aircraft weight restrictions. We require this information before processing your payment. Occasionally we have to offer an alternate route due to combined passenger weight; if this is the case, we will be in contact to discuss before processing any payments.  
Approx. Luggage Weight in kilograms*
Phone Number*
Email*
                            
                        
Passenger 2
Name
                            
                            
                                                    
                                                    First
                                                
                            
                            
                                                    
                                                    Last
                                                
                            
                        
Date of Birth
                            
                            DD slash MM slash YYYY
                        
                        
Weight in kilograms
IMPORTANT  
Please ensure you provide accurate weight for each of your passengers - this is important due to aircraft weight restrictions. We require this information before processing your payment. Occasionally we have to offer an alternate route due to combined passenger weight; if this is the case, we will be in contact to discuss before processing any payments.  
Approx. Luggage Weight in kilograms
Phone Number
Email
                            
                        
Passenger 3
Name
                            
                            
                                                    
                                                    First
                                                
                            
                            
                                                    
                                                    Last
                                                
                            
                        
Date of Birth
                            
                            DD slash MM slash YYYY
                        
                        
Weight in kilograms
IMPORTANT  
Please ensure you provide accurate weight for each of your passengers - this is important due to aircraft weight restrictions. We require this information before processing your payment. Occasionally we have to offer an alternate route due to combined passenger weight; if this is the case, we will be in contact to discuss before processing any payments.  
Approx. Luggage Weight in kilograms
Phone Number
Email
                            
                        
Passenger 4
Name
                            
                            
                                                    
                                                    First
                                                
                            
                            
                                                    
                                                    Last
                                                
                            
                        
Date of Birth
                            
                            DD slash MM slash YYYY
                        
                        
Weight in kilograms
IMPORTANT  
Please ensure you provide accurate weight for each of your passengers - this is important due to aircraft weight restrictions. We require this information before processing your payment. Occasionally we have to offer an alternate route due to combined passenger weight; if this is the case, we will be in contact to discuss before processing any payments.  
Approx. Luggage Weight in kilograms
Phone Number
Email
                            
                        
Passenger 5
Name
                            
                            
                                                    
                                                    First
                                                
                            
                            
                                                    
                                                    Last
                                                
                            
                        
Date of Birth
                            
                            DD slash MM slash YYYY
                        
                        
Weight in kilograms
IMPORTANT  
Please ensure you provide accurate weight for each of your passengers - this is important due to aircraft weight restrictions. We require this information before processing your payment. Occasionally we have to offer an alternate route due to combined passenger weight; if this is the case, we will be in contact to discuss before processing any payments.  
Approx. Luggage Weight in kilograms
Phone Number
Email
                            
                        
Passenger 6
Name
                            
                            
                                                    
                                                    First
                                                
                            
                            
                                                    
                                                    Last
                                                
                            
                        
Date of Birth
                            
                            DD slash MM slash YYYY
                        
                        
Weight in kilograms
IMPORTANT  
Please ensure you provide accurate weight for each of your passengers - this is important due to aircraft weight restrictions. We require this information before processing your payment. Occasionally we have to offer an alternate route due to combined passenger weight; if this is the case, we will be in contact to discuss before processing any payments.  
Approx. Luggage Weight in kilograms
Phone Number
Email
                            
                        
Do any passengers have impaired mobility?*
			
					
					No
			
			
					
					Yes
			
If so, please talk to us about options for boarding the aircraft
Do any passengers suffer from motion sickness?*
			
					
					No
			
			
					
					Yes
			
Please provide details of emergency contact who is NOT flying with you*
                            
                            
                                                    
                                                    First
                                                
                            
                            
                                                    
                                                    Last
                                                
                            
                        
Relationship to you* 
Address    
                    
                         
                                        
                                        Street Address
                                    
                                        
                                        Address Line 2
                                    
                                    
                                    City
                                 
                                        
                                        State / Province / Region
                                      
                                    
                                    ZIP / Postal Code
                                
                                        
                                        Country
                                    
                    
                
Phone*
Payment Details
Name on Card* 
Card Number* 
CVC*
Expiry*
Year*
You will receive a receipt to your nominated email once payment has been processed. If you have any concerns regarding payment, please give us a call on 0427 198 900. 
Cancellation Policy
Full refund if cancellation for any reason 48hrs prior to departure time. Cancellations by customer within 48hrs of departure will result in refund less 20% deposit. If flight must be cancelled due to weather at any time (at pilots' discretion), full refund will be processed.
Broken Hill Airport

ha.airptyltd@gmail.com

0427 198 900

Booking

Fill out the form below to make a booking.

Passenger 1 (Primary Contact)

Passenger 2

Passenger 3

Passenger 4

Passenger 5

Passenger 6

Payment Details

Cancellation Policy
