BOOKING FORM:

(Please print return by mail or fax completed booking form to your Agent or to:)

OSTRICH HOLIDAYS & TRAVEL LIMITED.

P.O. BOX 623  ARUSHA – TANZANIA.  

FAX NO. +255 – 27 - 2508360/ 2509822 - MOBILE NO.  +255 – 755 - 799 980

DETAILS OF PERSONS TRAVELING (PLEASE USE BLOCK LETTERS.)

NO.	NAME (S)		INITIAL	DATE OF BIRTH	PASSPORT NO	NATIONALITY
01.
02.
03.
04.
05.
AGENTS STAMP:		CONTACT ADDRESS OF 1ST PERSON ( TO WHOM ALL CORRESPONDENCE WILL BE ADDRESSED)

HEALTH:  (Please include details in a covering letter if there is insufficient space.)

               a)  Do you have any pre-preexisting medical conditions?

_________________________________________________________________________

 ________________________________________________________________________

b)  Are you physically fit for this holiday?

_________________________________________________________________________

_________________________________________________________________________

TOUR CHOICE: (Please list below the tour (s) which you wish to book.)

 

OPTION	TOUR NAME	TOUR REF.	LENGTH OF TOUR	DEPARTURE DATE
1ST TOUR
2ND TOUR

 

PAYMENT ENCLOSED:

Bank Telegraphic transfer should be made payable to M/S Ostrich Holidays & Travel Ltd. Or if

applicable to your Travel Agent. If a booking is made 8 weeks or less before the departure date

of the tour then payment in full at the time of booking.

 

DEPOSIT:

DETAILS	AMOUNT IN USD	COST PRICE	LESS 30% DEPOSIT	MULTIPLY BY CLIENTS	TOTAL AMOUNT $
a) Total safari cost		Per person	$.
b) Full payment		Per person	$.
Total Payment sent by telegraphic Bank transfer (refer slip attached) USD.

 

I have read and understand the Ostrich Holidays and Travel Ltd. Booking conditions. I am a

member of the group named on this booking form. I confirm that I accept the prices quoted, and

that I am authorized to accept these and the booking conditions on behalf of all other persons

included in this booking form. All members of the group will comply with the necessary health and 

VISA requirements for the holiday and accept full responsibility for so doing.

 

               Date: ……….................                                            Signature: ……………........