Complete and print the form below to reserve a place on any of our tours. Please then, sign it and send it to us by post, or fax, with a cheque or bank draft for the deposit. The reservation will be acknowledged by return and held for five working days pending receipt of a signed booking form and deposit (this can be extended for clients residing outside the UK on request).

 

Trip
Day Month Year

If the trip you are booking goes to the gorillas please indicate if you are intending to visit them as we have to pre-purchase the permits.

Gorilla permits must be paid for at the time of final payment otherwise a permit cannot be guaranteed.

I intend to visit the gorillas

I will not be seeing the gorillas

First name 1st person

First name 2nd person

Surname 1st person

Surname 2nd person

Date of birth 1st person
Day
Month Year
Date of birth 2nd person
Day
Month Year
Current address
Street & number
 
City
County/State
Country
Post/ZIP code
Nationality 1st person
Passport number
Nationality 2nd person
Passport number
P/p expiry date 1st person
Day
Month Year
P/p expiry date 2nd person
Day
Month Year
Place issued p/p 1
Place issued p/p 2
Occupation/s
Occupation/s

 

Home phone

 

 

Work phone

 

 

Mobile

 

 

e-mail

 

 
Next of kin contact details Phone number
 
  Address
 
How did you hear about us

Please book me on the above expedition. I enclose cheque/bank draft for £200 (Trans Africa or Nile) £150 (Gorillas & Kenya to South/Africa) £50 (Gorillas). I understand that the balance must be paid at least four weeks before departure. I have read and accept the Booking Conditions and I will accept and abide by the authority and decisions of the expedition leader appointed by the organisers.

If the trip you are booking goes to the gorillas please indicate if you are intending to visit them as we have to pre-purchase the permits. Please include your payment of £200 when paying for your trip. If you do not pre-purchase the permit we cannot guarantee your chance of seeing the gorillas.


Date
Signature
Deposit amount
Payment method

 

 

Tel +44 (0) 20 7262 0177
Fax +44 (0) 20 7706 2673

Email:sales@ecoexped.co.uk

© 2003 TrExplorer Ltd.