Travel FormsPlease state the name of the tour you are booking.*Client Name* First Last SurnameYou Age:*Please enter a number from 1 to 125.Date of Birth* Date Format: DD dash MM dash YYYY Gender*MaleFemalePassport Nationality*Passport Number*Date of Issue* Date Format: MM slash DD slash YYYY Date of Expiry* Date Format: MM slash DD slash YYYY Contact DetailsAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email Address* Best Contact Number*Mobile Cell Phone Number*Emergency Contact DetailsPersons not traveling with youName of Contact Person* First Last Relationship to traveler:*SpouseDomestic PartnerSonDaughterFatherMotherBrotherSisterGrandparentGrandchildLegal GuardianCustodianUncleAuntCousinOtherTelephone*Email* Other InformationDo you have any food allergies?YesNoPlease indicate the severity of the allergyDo you have any dietary restrictions?YesNoPlease indicate the dietary restrictionsFlightsPlease list the airport you will departing from:*If not applicable please use N/ASeating RequestWindowIsleNo PreferenceMeal RequestOnly for those who have specific religious, dietary and allergic requirements.Preferred AirlineFrequent Flier NumberHotel ReservationCompanion Name First Last Room Preference*Please note that I will do my best to fulfill your request but are not able to guarantee them.Single RoomDouble RoomTwin ShareThe booking form is an agreement between South Africa Travel and Tours (SATT) and the traveler. By signing this document you the traveler have read, understood, and agree to the terms and conditions on the South Africa Travel and Tours website and you agree to comply with them. If you are unable for any reason to access the terms and conditions, please contact the office of South Africa Travel and Tours at 617-910-9884.We would like to remind you that South Africa Travel and Tours does not provide travel insurance and it is left to the traveler's discretion to purchase. You are responsible for your own passports, visas, vaccinations, and inoculations. Please ensure when traveling to South Africa that you have a minimum of two (2) blank pages in your passport and that your passport is valid for 6 months after your date of arrival into your country of origin.I have read, understood and accepted SATT Terms and Conditions and am duly authored to sign on behalf of the people listed above (groups only - not applicable to two or more people.)Signature : (if under 21, parent/guardian signature required)*Full Name of Signer*Submission Date* Date Format: DD slash MM slash YYYY This iframe contains the logic required to handle Ajax powered Gravity Forms.