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professional guides
custom built landrovers
we practise eco-tourism
 
 

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You are also welcome to download this form in pdf format and fax it to us on:
+27 (0)11 794 2166. Download here - Booking Form [pdf doc 45kb]

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Personal Details

 
   
First Name: *
Surname:
Company:
Email Address: *
Telephone Number:  
Fax Number:  
Date of birth: dd/ mm/ yyyy
Address:
Next of Kin Name:
Next of Kin Relationship:
Nationality:
Passport Number:
Place of Issue:
Date Issued: dd/ mm/ yyyy
Date Expires: dd/ mm/ yyyy
Travel Insurance details
   

Tour Details

 
   
Tour and Tour date:
Sleeping bag hire:

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* I have read and accept the terms and conditions [opens in new window] set out by Safari Brothers. I acknowledge that it is entirely my own responsibility to ensure that I am adequately insured for the above venture. I realize that it is my responsibility to organize my own visas and travel arrangements before and after the tour departure date.

Furthermore I absolve Safari Brothers, their staff and affiliates from any liability whatsoever.
I undertake to do the above-mentioned tour entirely at my own risk.