participant 5

for 5 participants

For 5 Participants

Please fill out this form completely and send it off. Should an emergency arise during the trip, we can provide support in the event of any necessary medical treatment. This information will of course be treated confidentially.

"*" indicates required fields

I would like to accept the offered trip according to the offer from*

Remarks on booking

AGBs / Terms and Conditions*

I have read the travel conditions and I agree. (We ask for your understanding that we can only accept your booking if you use our Travel Conditions agree.)

My African Safari Dream contact person*

Participant 1

First names*

(as entered in the passport)

Surname*

(as entered in the passport)

Bill Address*

Street Address

e-mail*

phone number*

passport number*

passport expiry date:*

nationality*

date of birth*

Flight Departure Deatails

Flight Arrival Details

Mobile phone number during the trip

In case of an emergency during the trip please contact:

Information about the reference person

Participant 2

First names*

(as entered in the passport)

Surname*

(as entered in the passport)

passport number*

passport expiry date:*

nationality*

date of birth*

Participant 3

First names*

(as entered in the passport)

Surname*

(as entered in the passport)

passport number*

passport expiry date:*

nationality*

date of birth*

Participant 4

First names*

(as entered in the passport)

Surname*

(as entered in the passport)

passport number*

passport expiry date:*

nationality*

date of birth*

First names*

(as entered in the passport)

Surname*

(as entered in the passport)

passport number*

passport expiry date:*

nationality*

date of birth*