PRE-BOOKING INFORMATION SHEET

PERSONAL INFORMATION

We would like to get to know you better.

Full name as per passport (First & Last name is required)

Your Email (required)

Mobile number

Date of birth (required field)

Weight in pounds (required field)

Your safety is important to us. On smaller aircraft actual passenger weights are a legal requirement for weight and balance calculations.

Gender (required field)

Gender info required by law for flight documents

PASSPORT DETAILS

Please note - It is a mandatory requirement that you travel to Africa with at least two consecutive blank passport pages, per country you will visit. Namibia requires six blank pages. Your passport must be valid for six months beyond return date to your home country.

Date of issue (required field)

Expiry date (required field)

POSTAL ADDRESS

RESIDENTIAL ADDRESS

MEDICAL INFORMATION

If you have any medical requirements, including significant allergies, check the applicable box below.

ALLERGIES:
NoneShellfishPeanutsWheatBeesMilkPorkLactose intolerantSoyGlutenShellfishEggsOther

CONDITIONS:
NoneLow blood pressureSleep apneaWalker frameBack problemsOxygen machinePacemakerDisabilityWheelchairPregnantOther

DIETARY PREFERENCES

Most dietary requirements can be catered for. Please advise us of any specific dietary requirements and these will be communicated to all the properties you will be visiting.
HALAAL & KOSHER MEALS:
Not all of the properties can provide Halaal and Kosher meals. Halaal and Kosher meals will incur additional costs as they are specially flown in to the properties, where we are able to cater for these.

SPECIAL OCCASION

Please tell us more, we would love to make it extra special for you.
What's the occasion?
NoneBirthdayWedding anniversaryHoneymoon

Or some other occasion? Tell us more...

ROOM PREFERENCES

Bed options
Double - One bedTwin - Two beds

Sharing requirements

INSURANCE

PLEASE NOTE: It is a condition of travel as per our Terms & Conditions, to purchase adequate travel insurance that covers personal effects, personal accident, medical and emergency travel expenses, cancellation and curtailment, emergency evacuation, repatriation expenses. (For a copy of our Terms & Conditions, please visit our website) If you have not yet purchased travel insurance, please do so. You can also find more information in this regard under the frequently asked question section.

Do you have travel insurance?
YesNoWill provide detail at a later stage

Insurance company name

Policy number

Insurance Emergency Contact Number

Date of purchase

EMERGENCY CONTACT DETAILS

Name

Relationship

Mobile number

SPECIAL REQUESTS

Any special requests? Tell us more...

PRIVACY

African Aerial Safaris are committed to protecting the privacy of our clients and potential clients. All the information you provide will be kept confidential. Please consult the privacy policy on our website for further details.

NEWSLETTER
I would like to receive your newsletter and be the first to know of special offers African Aerial Safaris might have. You may unsubscribe from these communications at any time.
Yes, please sign me up.

AUTHORITY

I... ...hereby grant consent that an African Aerial Safaris agent may act as my agent. I understand that my Personal Information contained in this document will be captured and processed, subject to African Aerial Safari Privacy Policy, the terms and conditions of which policy I confirm I have read and agreed to.

Yes, I confirm (required field)

Once my Personal Information has been processed, I ...
consent (African Aerial Safaris may keep my info saved)do not consent (African Aerial Safaris will delete my info 90 days after the safari)
...that African Aerial Safaris may continue, subject to the terms and conditions of the Privacy Policy, to store my Personal Information. I understand that should I elect not to grant my consent, all Personal Information, save for my first name, last name, my date of birth and my passport nationality, will automatically be deleted 90 days after my return from my safari.