Hotel Booking Form

1
Name* This field is required.
First Name
Last Name
2
E-mail* This field is required.
example@example.com
3
Room Type
Please Select
Please Select
Standard Room (1 to 2 People)
Family Room (1 to 4 People)
Private Room (1 to 3 People)
Mix Dorm Room (6 People)
Female Dorm Room (6 People)
Male Dorm Room (6 People)
4
Number of Guests* This field is required.
5
Arrival Date * This field is required.
Date
Month
Day
Year
6
Departure Date* This field is required.
Month
Day
Year
7
Are you open to other dates?
YESNO
8
Do you need to be picked up from airport* This field is required.
Yes Please!
No Thanks
Other
9
Do you need Air* This field is required.
Yes Please!
No Thanks
10
Prefer Flight
Airport name, number and brand
11
Special Requests
12
Nikiwe Travels LLC recommends travel insurance. If you say YES it will be added to your vacation price. If you say No Nikiwe Travels LLC is not responsible for any cancellations* This field is required.YES or No
NO
YES
13
Please initialize your agreement to travel insurance
Clear
14
Does everyone in the group have a passport?
YESNO
15
Whats your budget for this trip?
16
What type of vaction are you looking for ex. party, beach etc ?
17
Research Fee (only one should be check)* This field is required.
prevnext( X )
My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
3 months or more travel timeex. if traveling time is more than three months. Turn around time fee is 3 to 5 days.
$20.00Edit
Back
3 months or lessex. if traveling time is less than 3 months fee. Turn around time fee is 2 to 3 days.
$25.00Edit
Back
Total cost $0.00
18
Pay with PayPal
Please click one of the PayPal options to complete payment and submit the form.
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