Booking Form

- Step 1 of 11

Personal Information - Main Traveler

Name as per passport *

First

Last

Upload passport copy *

Click or drag a file to this area to upload.

Bed Configuration *

Sharing with *

Dietary Requirements *

Medical Conditions or allergies *

Weight in Kgs *

This is safety requirement for any light aircraft flights.

Drinks Preference

Preferred seat allocation

Please let us know if you have any preferred seating allocations for any commercial flights we have booked for you. We cannot guarantee we can get these, but we can try.

Cell Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Emergency Contact Details

Emergency Contact Name *

First

Last

Relationship *

Country of Residence *

Phone *

Travel Insurance Details

Broker *

Policy Number *

Phone *

Travel Information

Arrival Date and Time in Africa *

Date

Time

Arrival Airport *

Airline *

Flight Number *

Departure Date and Time from Africa *

Date

Time

Departure Airport *

Airline *

Flight Number *

Additional Information

Special Occasion whilst in Africa

Any Special Interests

Any additional information you wish us to know that will help make your safari extra special?

2nd Traveler

Name as per passport *

First

Last

Upload Passport copy *

Click or drag a file to this area to upload.

Bed Configuration *

Sharing with *

Dietary Requirements *

Medical Conditions or allergies *

Weight in Kgs *

This is safety requirement for any light aircraft flights.

Drinks preference

Preferred seat allocation

Please let us know if you have any preferred seating allocations for any commercial flights we have booked for you. We cannot guarantee we can get these, but we can try.

3rd Traveler

Name as per passport *

First

Last

Upload Passport copy *

Click or drag a file to this area to upload.

Bed Configuration *

Sharing with *

Dietary Requirements *

Medical Conditions or allergies *

Weight in Kgs *

This is safety requirement for any light aircraft flights.

Drinks preference

Preferred seat allocation

Please let us know if you have any preferred seating allocations for any commercial flights we have booked for you. We cannot guarantee we can get these, but we can try.

4th Traveler

Name as per passport *

First

Last

Upload Passport copy *

Click or drag a file to this area to upload.

Bed Configuration *

Sharing with *

Dietary Requirements *

Medical Conditions or allergies *

Weight in Kgs *

This is safety requirement for any light aircraft flights.

Drinks preference

Preferred seat allocation

Please let us know if you have any preferred seating allocations for any commercial flights we have booked for you. We cannot guarantee we can get these, but we can try.

5th Traveler

Name as per passport *

First

Last

Upload Passport copy *

Click or drag a file to this area to upload.

Bed Configuration *

Sharing with *

Dietary Requirements *

Medical Conditions or allergies *

Weight in Kgs *

This is safety requirement for any light aircraft flights.

Drinks preference

Preferred seat allocation

Please let us know if you have any preferred seating allocations for any commercial flights we have booked for you. We cannot guarantee we can get these, but we can try.

6th Traveler

Name as per passport *

First

Last

Upload Passport copy *

Click or drag a file to this area to upload.

Bed Configuration *

Sharing with *

Dietary requirements *

Medical Conditions or allergies *

Weight in Kgs *

This is safety requirement for any light aircraft flights.

Drinks preference

Preferred seat allocation

Please let us know if you have any preferred seating allocations for any commercial flights we have booked for you. We cannot guarantee we can get these, but we can try.

7th Traveler

Name as passport *

First

Last

Upload Passport copy *

Click or drag a file to this area to upload.

Bed Configuration *

Sharing with *

Dietary Requirements *

Medical Conditions or allergies *

Weight in Kgs *

This is safety requirement for any light aircraft flights.

Drinks preference

Preferred seat allocation

Please let us know if you have any preferred seating allocations for any commercial flights we have booked for you. We cannot guarantee we can get these, but we can try.

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