Date of Tour:
Name:
ID Number:
E-mail address:
Cell no:
Work no:
Postal Address:
Medical Aid Name:
Medical Aid no:
Blood Type:
Allergies:
Next of Kin:
Cell no:
Jacket Size XS S M L XL XXL
Name of other members in your group:
 

PAYMENT DETAILS

  1. Payment may only be made once we have ensured that a minimum of 15 bookings have been received.
  2. We will e-mail you the banking details by the booking deadline date (see above) or if need be notify you should the Tour be cancelled.