Booking Form & Booking Information

• Tour Name*
• Tour Start Date*
• Tour End Date*

*When indicating the tour dates, please include any extension(s) you want to book.

• Title
  MrMrsMsMissDr
• First Name(s)*
  In full as displayed on your passport
• Last Name*
  Your family name
• Preferred Name
  First name you wish to be known by on tour

• Details needed for entry permits and other travel formalities:

• Date of Birth
• Place of Birth
• Nationality
• Profession
• Passport No.
• Place of Issue
• Date of Issue
• Date of Expiry

• Title
  MrMrsMsMissDr
• First Name(s)
  In full as displayed on your passport
• Last Name
  Your family name
• Preferred Name
  First name you wish to be known by on tour

• Details needed for entry permits and other travel formalities:

• Date of Birth
• Place of Birth
• Nationality
• Profession
• Passport No.
• Place of Issue
• Date of Issue
• Date of Expiry

• Address
  Street Address* Address Line 2 City* County / State / Region ZIP / Postal Code Country*
• Telephone No. (Home)
• Telephone No. (Mobile/Cell)
• Telephone No. (Work)
• Email Address*
• Contact name(s), address(es) and telephone number(s) in case of emergency on tour with us

• What kind of room would you prefer?
  SingleTwinDouble

• Couples should specify their room preference (i.e. Double = one large bed, Twin = two smaller beds). We cannot guarantee that your preference will be available. If you are traveling alone and would prefer to share a room (subject to a room-mate being available), you should answer 'Twin' to the above question. Please note that smokers may not smoke in the room unless the other occupant is also a smoker.

• Hidden
  Are you interested in having Wild Images provide your international flight tickets to and from the tour?
  • Yes
  • No
• From which airport would you like your flight tickets?
• Other Requirements
  including dietary requirements

• Our office will let you know the deposit amount due on receipt of this online booking form and will provide bank transfer details where applicable. Please select the currency in which you wish to pay the deposit and the payment method from the list below. Kindly note that if you wish to pay by card you will need to opt to pay in Pounds (GBP). Please also note that the same currency has to be used for both the deposit and the final tour balance payments.

• I have read the payments section of the Booking Information and I would like to*
  • Pay the deposit in Pounds by bank transfer
  • Pay the deposit in Pounds using a debit/credit card and provide my card details now
  • Pay the deposit in Pounds using a debit/credit card and provide my card details by phone
  • Pay the deposit in US Dollars by bank transfer‎
  • Pay the deposit in Euros by bank transfer
  • Pay the deposit in Australian Dollars by bank transfer
• Card Details

  • Card Type
    Visa/Delta/ElectronMasterCard/EuroCardSolo/MaestroMaestro
  • Name on Card
  • Card No.
  • Start Date
  • Expiry Date
  • Card Verification Code (CVC)
    last 3 digits of the code on the back of the card
  • Issue Number
    if any