SEBATA 4X4 BOOKING FORM

SEBATA 4X4 SELF-DRIVE TOURS ADVENTURES
Tour Name
Tour Start Date

MonthDayYear
Date
"Please complete all required fields and return a signed copy of this form, along with copies of your ID, driver's license, and passport, as well as ID and passport copies for all passengers."

"Vehicle and/or trailer registration papers must also be provided."

"To secure your spot, we require a 50% deposit along with the completed booking form, the remaining balance is due by no later than 60days before the tour starts"

"Passport information is required when crossing the border, for SA Only trips, ID Information is sufficient."
Title
First / Middle Name
Last Name
Address
City
State
Postcode
Phone (H)
Work Tel
Mobile
Personal Email
example@example.com
Work Email
example@example.com
ID Full Name & Surname
ID Number
Full Name & Surname as shown on passport
Passport Number
Nationality
Issue Date

MonthDayYear
Date
Expiry Date

MonthDayYear
Date
Date of Birth

MonthDayYear
Date
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?
Does your vehicle have low range: Yes/No
Vehicle Make
Vehicle Registration Number
TrailerCaravan Make
TrailerCaravan Registration Number

Vehicle Ocupants

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*
Medical Aid
Medical Aid Number

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) Insurance details must be provided prior to the finalization of your arrangements.
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
Payment Details!

Bank Name: First National Bank Branch Name: Montana Branch Branch Code: 250655 Account Holder: Sebata 4x4 CC Account Number: 631 759 13194 Account Type: Gold Business Swift Code: FIRNZAJJ Reference: Name & Surname

Bank Name: Standard Bank Account Name: Sebata 4x4 CC Account Number: 1020 645 98 64 Account Type: Current Account Branch: Johannesburg Branch Code: 051001 SWIFT Code: SBZAZAJJXXX Reference: Name & Surname

Kindly send proof of payment to sammy@sebata4x4.co.za
I hereby confirm that all the above information is correct and true, and I authorize Sebata 4x4 Adventures to use thisinformation for making travel arrangements on my behalf. (YES / NO)
Signature

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Date
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SEBATA 4X4 SELF-DRIVE TOURS ADVENTURES