Sebata 4x4 Adventures

SEBATA
Sebata 4x4 Adventures
Guided Self-Drive Tours Booking Form
Tour Name
Tour Date

MonthDayYear
Date
Tour Booking Form - Please complete all fields and return a signed copy with a copy of your id, driver's license, and passport. Terms and Conditions apply, our standard terms and conditions are easily accessible on our website.

Once we receive your booking form, we will promptly provide you with an invoice for the tour. It is important to note that a 50% deposit is required immediately to secure your booking.
PERSONAL INFORMATION:
Title
First Middle Name
Last Name
Address
City
State
Postcode
Phone (H)
(W)
Mobile
Fax
Personal Email
example@example.com
Passport No
Issue Date

MonthDayYear
Date
Expiry Date

MonthDayYear
Date
Date of Birth

MonthDayYear
Date
Nationality
Dietary Requirements
Vehicle Details - (This is a self-drive tour; you must be able to be self-sustained for a minimum of 3 days)
Do you have any off-road driving experience

NoYes
Does Your Vehicl Have Low Range

YesNo
Vehicle Make

Vehicle Occupants

Please list any medical conditions we should be aware of:

It is essential that you have comprehensive cover to travel throughout Africa south of the equator. (If more information is needed you can contact us) Please ensure that your insurance details are finalized at least three weeks before your trip.

EMERGENCY CONTACT (i.e.: the person to contact in the event of an emergency while you are away)
Name & Surname
Tel
Address
Relationship
Name & Surname
Tel
Address
Relationship
Name & Surname
Tel
Address
Relationship
I hereby confirm that all the above information is correct and true, and I authorize Sebata 4x4 Adventures to use this information for making travel arrangements on my behalf.
Date
Month
Year
Name
Signature

Clear
Witness
Name
Signature

Clear
Sebata 4x4 CC 38 Hotel Road, Lusthof, Pyramid, Pretoria Tell: 079 883 8180, / 082 386 9520, Email: safaris@sebata4x4.co.za.Web Site: www.sebata4x4.co.za
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