Booking Form

TO CONFIRM YOUR BOOKING PLEASE COMPLETE THIS FORM WITH $500.00 DEPOSIT PER PERSON. ON RECEIPT FULL DOCUMENTATION WILL BE FORWARDED.

Page 1 of 4 - Traveller(s)

25%
Tour Name
Departure Date / DD / MM YYYY
PARTICIPANT 1
Traveller Details

Names must be exactly as shown on passport.
Name Title First Middle Last Suffix
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Home Tel
Work Tel
Mobile
Date of Birth / DD / MM YYYY
Occupation
Dietary Requirements
Flight Details

If not travelling with a group, please advise flight details.
Departing (city)
Arrival Date / DD / MM YYYY
Arrival Time : HH MM AM/PM
Departing Date / DD / MM YYYY
Departing Time : HH MM AM/PM
Passport Details
Nationality
Date of issue / DD / MM YYYY
Passport No.
Place of issue
Room Preference
Room Type
Emergency Contact Details

In case of an emergency, please contact:
Name First Last
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Tel
Work Tel
Mobile
Payment Method

We accept Visa, Mastercard and BankCard. Credit card payments will incur a surcharge of 2.0% to cover bank fees. PayPal will incur a surcharge of 2.90% to cover PayPal fees.
Preferred Payment Method
Credit Card Type
Name on Card
Cardholder's Number
Security Code

The 3 digit code on the reverse of the card, 4 digits for Amex
Expiry Date
Add another passenger?
PARTICIPANT 2
Traveller Details

Names must be exactly as shown on passport.
Name Title First Middle Last Suffix
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Tel
Work Tel
Mobile
Date of Birth / DD / MM YYYY
Dietary Requirements
Occupation
Flight Details

If not travelling with a group, please advise flight details.
Are Flight Details the same as Passenger 1
Yes No
Departing (city)
Arrival Date / DD / MM YYYY
Arrival Time : HH MM AM/PM
Departing Date / DD / MM YYYY
Departing Time : HH MM AM/PM
Passport Details
Nationality
Date of issue / DD / MM YYYY
Passport No. (2)
Place of issue (2)
Room Preference
Room Type
Emergency Contact Details

In case of an emergency, please contact:
Name First Last
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Tel
Work Tel
Mobile
Payment Method

We accept Visa, Mastercard and BankCard. Credit card payments will incur a surcharge of 2.0% to cover bank fees. PayPal will incur a surcharge of 2.90% to cover PayPal fees.
Is the payment method the same as Traveller 1?
Yes No
Preferred Payment Method
Credit Card Type
Name on Card
Cardholder's Number
Security Code

The 3 digit code on the reverse of the card, 4 digits for Amex
Expiry Date
Save my progress and resume later
Enter Your Email Address

A special link to resume the form will be sent to your email address.

Booking Form

Booking Form

Page 1 of 4 - Traveller(s)

PARTICIPANT 1

Traveller Details

Flight Details

Passport Details

Room Preference

Emergency Contact Details

Payment Method

PARTICIPANT 2

Traveller Details

Flight Details

Passport Details

Room Preference

Emergency Contact Details

Payment Method