Personal Details

Your Email (required)

Your Title, First Name & Last Name

Please note the above fields are to be exactly as displayed on your passport

Date Of Birth ( mm/dd/yyyy )

Home Address

Postal Address ( If different to above )

Contact Details


Emergency Contact Details

Special Dietary Requirements

Passport Details

Date Issued (mm/dd/yyyy)

Expiry Date (mm/dd/yyyy)

Please attach a color copy of your Passport below (Size limit : 1.5mb)

Tour Preferences

South AfricaDubaiCubaBrazilOther

Other – please specify (incl any Add-On options)

Room Type Requirements

SingleTwinDouble

Sharing with (twin / double)

Do you require travel insurance?

YesNo

Trip Cancellation & Interruption Insurance to cover any unexpected incidents that may occur prior or during your trip is highly recommended

Air Transportation Preferences

***Rates to upgrade from economy class available on request***

Economy Class

Preferred seating

WindowMiddleAisle

Please note: Preferred seating can be requested, but not guaranteed

Frequent Flyer Numbers

Yes I have read and accept the Booking Terms & Conditions”