BOOKING FORM
Your contact details
Your name:
Home address:
Telephone number:
Email address:
Travel itinerary details
Country:
Day/month/year:
Lead passenger:(Group bookings only)
Additional notes:
Your emergency contact
Name and relationship to you:
Address:
Telephone number:
Passengers
Passenger details (as they appear on their passport)
Remove
Title:
First name:
Middle name(s):
Surname:
Occupation:
Nationality:
Country:
Date of birth:
Weight (kg): *
* Please note we require this information in order to calculate exact weight load on bush aircraft.
Passport
Passport number:
Passport Issue date:
Passport expiry:
Passport place of issue:
Add another passenger
Dietary requirements and medical conditions / disabilities
Please list any dietary requirements or food allergies:
Please state if none.
Please list any medical conditions that may affect your holiday or if you have any special requirements (e.g. allergies, pregnant, asthmatic):
Please state if none.
Other special requests:
Please state if none.
International Flights
Please list departure city, destination city, times, dates and flight numbers.

Confirm flight details later
Arrival details:
Departure details:
Travel Insurance
Confirm insurance details later
Name of Insurer:
Insurer Telephone Number:
Policy Number:
Note: Please ensure that your policy covers accident, emergency repatriation or medi-vac and also cancellation of trip.
Payment Details
Payment to be made by another party
Deposit:
Total Enclosed:
Payment Options
Wire transfer (Tick to request bank details. Please ensure you pay all bank charges of transfers).
Cheque (All cheques should be made payable to JOURNEYS BY DESIGN and marked account payee only).
American Express Card ((We will contact you for details. This card carries a 2.0% fee. All other major credit cards carry fees starting from 3%).
Trust For African Schools
Charity Number: 1113113
www.trustforafricanschools.org

For every client that travels, we will donate, on your behalf, £20 per person to Trusts for African Schools.

For UK residents only, Trusts for African Schools would like to reclaim Gift Aid on this donation, which adds 25p to every £1. Please could you sign the below declaration if you are happy for them to claim gift aid. If you live outside the UK and would like to know more about the trust, please do make contact with us.

As per my details on this booking form, I wish Trusts for African Schools to reclaim tax on all my donations made to Trusts for African Schools on or after the date of this declaration until I notify you otherwise.
This does not apply
Please note that you must pay an amount of income tax and/or capital gains tax at least equal to the tax that we reclaim on your donation in the tax year. Higher rate tax payers can claim further tax relief.
Your financial protection
When you buy an ATOL protected air holiday package from us, you will receive a confirmation invoice from us confirming your arrangements and your protection under our Air Travel Organisers Licence 9680. In the unlikely event of our insolvency, the CAA will ensure that you are not stranded abroad and will arrange to refund any money you have paid to us for an advance booking. For further information, visit the ATOL website www.atol.org.uk

Terms and Conditions for booking with Journeys By Design
View full terms and conditions

I agree to these terms and conditions

Foreign and Commonwealth Office Travel Advice
View full FCO agreement for travel

I have read the advice published by the Foreign and Commonwealth (FCO) on travel to the country/countries I am visiting and have read Journeys by Design's FCO agreement for travel.
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