Cape Insights Booking Form

NOTE: Fields with * are required

TOUR NAME *
 TOUR DATE: FROM *
 TOUR DATE: TO *

YOUR DETAILS (Main signatory)

First Name *

Last Name *

Email *

Tel. No daytime *
 Address line 1 *

Address line 2

City *

Code *

Country *

TRAVELLER'S NAME (As you would like to be addressed)

First Person
First Name *

Last Name *
 Second Person
First Name

Last Name

PASSPORT DETAILS (Essential in case of emergency)

First Person
First Name *

Last Name *

Nationality *

Date of Birth *

Place of Birth *

Passport Number *

Place of Issue *

Date of Issue *

Date of Expiry *
 Second Person
First Name

Last Name

Nationality

Date of Birth

Place of Birth

Passport Number

Place of Issue

Date of Issue

Date of Expiry

PREFERRED ACCOMMODATION (Please tick)

Double Room Single Room 

FLIGHTS

Airline & Flight No.

Arrival Time
 OR
Flight details to follow 

FURTHER INFORMATION Special requests, Dietary requirements or Any other info you think we should know

NEXT OF KIN (Or contact in case of emergency)

First Name *

Last Name *

Email *

Tel Number *

Relationship *

PAYMENT (Full payment is required when booking within 10 weeks of departure. See The Fine Print for details)

Deposit(s) *

TOTAL *

The Fine Print | Privacy Policy

 I confirm that I have read and agree to The Fine Print and Privacy Policy on behalf of all listed above