2027 Tanzania Safari Registration Form

Tour Registration Form
Traveler #1

Enter Information exactly as it appears on your passport
Full Name*

First NameMiddle NameLast NameSuffix
E-mail*
Phone Number*
Date of Birth*

MonthDayYear
Preferred First and Last Name*
Traveler Passport Expires After 8/1/27*

YesNo
Passport Number
Passport Expiration

MonthDayYear
Traveler #2 (If paying as a single party)

Enter Information exactly as it appears on your passport
Full Name

First NameMiddle NameLast NameSuffix
E-mail
Phone Number
Date of Birth

MonthDayYear
Preferred First and Last Name
Traveler Passport Expires After 8/1/27*

YesNo
Passport Number
Passport Expiration

MonthDayYear
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Anything we should know about you or your party such as special instructions, food allergies or medical conditions
Payment Terms
- A Deposit of $2,000 per person is due with registration.
- Final Payment is due by September 15, 2026
Cancellation Terms
- For cancellations received within 2 weeks of Registration, the deposit is fully-refundable
- For cancellations received more than 2 weeks after Registration and before September 15, 2026, the deposit is non-refundable.
- For cancellations received after September 15, 2026, the tour cost is non-refundable.
Upload Picture(s) of Passport(s) to Secure Server

Cancelof

2027 Tanzania Tour DepositEnter the number of people being registered

$2,000.00 Quantity
Item subtotal:$0.00

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Tour Registration Form