Booking Form

Please complete this booking form to include your address, and return to us with your deposit payment. If you do not have your pick-up and drop-off information at this point in time please leave these fields empty.

Passport Information

Full Names

Number

Nationality

Issue Date

Expiration Date

Place of Issue:

Date of Birth

SEX:

SEX

Male Female Other

Email:

Telephone:

Post Code:

Address

Disabilities:

Medical Condition

Allergies:

ARRIVAL DATE

DEPARTURE DATE

OUTBOUND TRAVEL

OUTBOUND AIRPORT:

DESTINATION AIRPORT:

FLIGHT NUMBER:

FLIGHT TIME:

RETURN TRAVEL

OUTBOUND AIRPORT BACK:

DESTINATION AIRPORT BACK:

FLIGHT NUMBER BACK:

FLIGHT TIME BACK:

EMERGENCY CONTACT

FULL NAMES:

RELATIONSHIP:

PHONE CONTACT:

RELATIONSHIP EMAIL:

ADDRESS

PRINT NAME:

SIGNATURE:

DATE:

Msafiri Tours is committed to respect the privacy of our clients and the personal information collected from them when booking trips to Africa. Personal information includes names, e-mail addresses, private addresses, telephone numbers and other information provided by a client. Msafiri Tours undertakes to make personal information available to employees (including those contracted to provide a service) on a need-to-know basis ONLY. It is our policy NOT to exchange, sell or disclose personal information to an outside party.

BOOKING FORM

BOOKING FORM

Passport Information

+44 7923802721

+256 783 704 342

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