We would like to get to know you better.
Full name as per passport
Date of birth
Weight (pounds lbs)
Your safety is important to us. On smaller aircraft actual passenger weights are a legal requirement for weight and balance calculations.
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
If you have any medical requirements, including significant allergies, check the applicable box below.
Low blood pressureSleep apneaWalker frameBack problemsOxygen machinePacemakerDisabilityWheelchairPregnantOther
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.
Please tell us more, we would love to make it extra special for you.
What's the occasion?
Or some other occasion? Tell us more...
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?
Insurance company name
Insurance Emergency Contact Number
Date of purchase
EMERGENCY CONTACT DETAILS
Any special requests? Tell us more...
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