Gallivanter Gals - Kenya Safari

Gallivanter Gals - Kenya Safari

Narobi - Nakuru | 30th May 2025 (13 Days)
Booking Form

Please ensure you have completed the entire form. This form provides us with the necessary information we require to make your holiday more enjoyable. For your privacy, this information will be kept in your personal file.
Rooming - Single
Pre-Tour Rwanda Gorilla Trekking
28/05/2025 to 30/05/2025
Passenger 1

NAME MUST BE AS PER YOUR CURRENT PASSPORT
P1. Title
P1. First Name
P1. Last Name
P1. Phone Number
Please enter a valid phone number.
P1. Email
example@example.com
P1. Address

Street Address

Street Address Line 2

City

Postal / Zip Code
P1. Date of Birth
P1. Country of Birth
P1. Nationality
P1. Passport Number
P1. Country of Passport Issue
P1. Passport Expiry Date
DDMMMYY
Emergency Contact Information

Please enter details of your emergency contact
Name and Relationship
Phone Number
Please enter a valid phone number.
The Finer Details
Will you be celebrating a special occasion?
eg. anniversary, birthday
Do you require mobility assistance?
If yes, please provide details here
Do you have any dietary requirements?
If yes, please provide details here
Do you have any medical requirements?
If yes, please provide details here
Any Additional Comments?
If yes, please provide details here
Travel Insurance

Travel Insurance is highly recommended for this departure, please see your Advisor for a quote if you have not already received one. To purchase our travel insurance please speak with your advisor.
Do you require Travel Insurance?

YesNo
By ticking NO, you acknowledge that you fully accept all the risks and responsibilities for any costs/losses sustained as a result of not having adequate travel insurance.

*Please note that if you purchase travel insurance elsewhere, a fee will be charged for any documentation required for a claim as per our terms of trade and schedule of fees.
What is your preferred store?
Do you have a preferred Advisor?
Do you have a preferred Advisor?
Do you have a preferred Advisor?
Do you have a preferred Advisor?
I hereby acknowledge that I have read and understand Gallivanter Travel terms and conditions
Signature

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Gallivanter Gals - Kenya Safari

Booking Form

Passenger 1

Emergency Contact Information

The Finer Details

Travel Insurance