ADVENTURE TRAVEL AFRICA - Booking & Credit Card Authorisation form
1. Fill in, print out. 2. SIGN, FAX to ++27 12 343 9351. All Budget Operators charge 5 % bank charges for
processing credit cards on top of the stated price. This is charged by our greedy banks!
|Trip Name(s)||Trip Code(s)||Departure Date(s)|
|CLIENT 1||CLIENT 2|
|Place and Date of Birth|
|Place of Issue|
|Date of Issue|
|Date of Expiry|
|Address for correspondence|
|Personal Email address|
|Policy & Emergency number|
|Next of Kin|
|Name and Phone number|
|Meal Preferences if any|
|Payment Details - if transfer leave blank|
|Name of card holder:|
|Type of card||VISA||MASTERCARD|
|Card expiry date:||(mm/yy)|
|Last 3 digits:||(found on reverse of card)|
|Total amount in RAND:|
I have read the booking conditions and accept. I hereby authorise Adventure Travel Africa or their appointed tour operator to deduct amount specified above from my credit card.
|Signature of credit card holder:|
*Please note that there is a non-refundable deposit of ZAR4000 per person per trip to secure your booking. Final payment is due 8 weeks prior to departure. Bookings are non-transferable. I certify on behalf of the person(s) named on this booking form, by which I warrant I am authorised to make this booking, that I/we have read and agree to the booking conditions below relevant to my/our trip, and the conditions of insurance that I/we must take to travel on this/these trips. I declare that I am over 18 years of age and have read and understood the booking conditions.