Kudu Travel LimitedTeffont
Manor Teffont
Ewyas Salisbury
SP3 5RJ Wiltshire, UK
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Phone/Fax : +44 1722 716 167 email : kuduinfo@kudutravel.com Registered in England no. 03854049 |
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Please print this form and after you have completed and signed it post it with your deposit to : Kudu Travel Limited, Teffont Manor, Teffont Ewyas, Salisbury SP3 5RJ, Wiltshire, UK.
Payments may be made by Mastercard, Visa, Amex or Switch card; or by £, US$ or Cdn$ cheque or bank draft made payable to Kudu Travels Trust Account. Please contact us if you would prefer to make a wire transfer.
Trip
Name Departure
Date
Preferred
First Name and Surname
1.
Mr Mrs Ms Other
2.
Mr Mrs Ms Other
Room
request (subject to availability)
I
(We) prefer Double/A large bed Twin beds
I
(We) prefer Bath Shower
I
am willing to share a room YES NO
I
prefer a single room at supplemental cost YES
NO
Correspondence Address
..
..
..
..
Home telephone Work
Fax Email address
1. Passport number . Nationality .
Passport
Expiry Date
Date of
Birth
.
2.
Passport number
. Nationality
.
Passport
Expiry Date
Date of
Birth
...
Relevant medical conditions (please supply full details)
..
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Foods you cannot or do not wish to eat (e. g. pork, shellfish, rabbit)
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Arrival: Date .. Time . By
Departure: Date
.. Time
. By
We do not arrange
flights but would be happy to recommend a suitable flight connection and a
helpful travel agent.
The
designated meeting points and time are described in the detailed itineraries.
Do let us know if you require assistance with extension accommodation before or after the trip.
It is essential, and a condition of booking, that each guest is insured. We can arrange travel insurance for UK residents through White Horse Insurance Ireland Ltd. Click here for details. If you are already insured please give details of your policy below (company, policy number, emergency telephone).
I would like you to arrange my travel insurance YES NO
Period from . to ..
Please remember to include any travel and extension days at the beginning or end of the tour.
Insurance policy details (if you are already insured)
..
..
Emergency Contact
..
..
..
..
Payment details I wish to pay by cheque card (Mastercard, Visa, Amex, Switch)
Cardholders name
Expiry date .. Security Code (last 3 digits on the back)
(4 digits on the front for Amex)
Card number
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Deposit Full cost (if departing within 60 days) . ..
Insurance premium . Total amount ..
Do you wish us to charge the balance to this card 60 days before the holiday YES NO
I
hereby confirm that I have read and understood the Booking Conditions and accept them on behalf
of myself and all other guests included on this booking form.
Date
Signed
Have you any friends whom you think would like to receive our brochure? (If so, please provide mailing address.)