home
|
booking
Search:
Please fill in the details below then click send.
Required information "
*
"
I/We confirm that we wish to go on safari as per the itinerary quoted.
GROUP NAME
PASSENGER No.
DATES dd/mm/yy
SAFARI
(Safari Code/Name where applicable e.g RWS4: Gorillas in PNV)
FLIGHT ARRIVAL
AIRLINE
*
DATE dd/mm/yy
*
TIME hh:mm
*
DEPARTURE
AIRLINE
*
DATE dd/mm/yy
*
TIME hh:mm
*
TITLE
*
SURNAME
*
FIRST NAME
*
DoB dd/mm/yy
*
NATIONALITY
*
PASSPORT NO
*
NAME & POSTAL ADDRESS OF GROUP LEADER
*
NAME
ADDRESS
POSTCODE
*
EMAIL
TELEPHONE
*
EMERGENCY CONTACT (Next of kin)
NAME
*
TELEPHONE
*
INSURANCE
ROOMING PREFERENCE (Please number boxes)
Double
Twin
Triple
Single
DIETARY REQUIREMENTS
Vegetarian
Non-veg
Other
I/we confirm I/we would like to buy the Travel Insurance offered by Volcanoes
I/we will purchase equivalent travel insurance cover from another company and will provide details
I/we have read the company’s Terms and Conditions (See www.volcanoessafaris.com under ‘Travel Info’), including the terms on liability and cancellation and accept them on behalf of myself/ourselves and all the other persons on this booking form, by whom I/we are authorised to make this agreement
*
Please add me to your database and keep me informed of Volcanoes Safaris
Yes
No
Please send me details of Volcanoes Partnership Projects
Yes
No
If you wish to take any gifts for local people who live around the lodges we suggest you take school stationery for children
Please send a brochure to:
