Booking Form Terms & Conditions Waiver "*" indicates required fields Departure Date* MM slash DD slash YYYY Select Your Safari:*Wildlife, Wine & Waterfall Signature SafariDrumbeat - Bigger, Better, Bolder SafariGirls, Gorillas & Roar, Oh My!Safari Sisters Series: From My Backyard to Your Bucket ListSpecialty SafariPlease print your name EXACTLY as it is on your passport as this is what will be printed on your flight tickets and changes may incur fees by the airline(s).Name* First Middle Name or initial Last Email Address:* Date of Birth:* YYYY slash MM slash DD Passport #*Passport Issue Date:* YYYY slash MM slash DD Issued by:*Passport Expiry:* YYYY slash MM slash DD Citizenship:*Contact Cell #*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Emergency Contact Name & Relationship to you:*Emergency Contact Cell #*Alternative Emergency Contact #Comment (if any):I have been to Africa before. Yes No Which country(s)?Special Dietary Needs:Check all required None Vegetarian Vegan Kosher Gluten-Free Do you drink alcohol? Yes No Any allergies or medical conditions we should be aware of? No Yes If yes, please specify ALL.Full Name of the person you are travelling with?Will you and the person you are travelling with require one bed or two? One bed Two beds What method are you paying by? Etransfer to: tsiva@tourcanvacations.com Cheque/Draft to: Tourcan Vacations Inc, 245 Fairview Mall Drive, Suite 705, Toronto, ON, M2J 4T1 (Mail or delivery of cheque) Credit card: Call Karen +(1)+705-607-5433 or email karen@allwings.ca to provide your credit card information. (Note: Credit cards incur a 3% fee (AMEX 3.5%). Etransfers and cheques are free. Dishonoured cheques incur a fee.) Note: When you etransfer a payment, please include in the Message Field “AllWings Tour”, and you will need to provide a password for your transfer. After the payment is done, please forward proof of payment via email to karen@allwings.ca, together with your password so the payment can be accepted. Please note your seat on this tour is not reserved until payment is received.I am paying: Non-refundable deposit of CAD 2500 or USD 2800 Full trip non-refundable/non-changeable price for one person sharing. In confirmation that you understand the following, please review and check ALL BOXES if you agree. We cannot process payment or guarantee your place if this is incomplete. I am aware that Trip Insurance including medical, trip cancellation and trip interruption is my responsibility and mandatory to participate in this tour. The cost of this trip, including the deposit, is non-refundable/non-changeable and non-transferable. In the event the tour is cancelled, a refund in the form of a credit will be applied to a future tour. This contract permits price increases. However, no price increases are permitted after the customer has paid in full. If the price increase is more than 7%, except increases resulting from an increase in retail Sales tax of federal GST/HST, the customer has the right to cancel the contract and obtain a full refund. (See Terms & Conditions of Travel) I acknowledge that it is my responsibility to confirm with my doctor/a doctor that I am healthy to travel and participate in the tour, and confirm I have full, unaided and unrestricted mobility including walking and hiking independently on the tour. To participate in the tour, you are required to accept, sign and return the completed TERMS AND CONDITIONS OF TRAVEL which includes RELEASE OF LIABILITY AGREEMENT, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT. BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. PLEASE READ CAREFULLY!
