BOOK YOUR 2024 NAMAQUALAND FLOWER POWER SAFARI (4 NIGHTS)

Accommodation

Select Payment Option*

Please note this is a no obligation booking form. Your 30% deposit is non-refundable ONLY once it is paid as we will use it to secure your accommodation booking. Full payment - will be requested 3 months prior to the Safari start date. We will send you a reminder to ensure you are ready and able to proceed!

Accommodation - 30% DEPOSIT*

Accommodation - FULL PAYMENT*

Total Due Now

'Transfer with Us'

If you do not have your own transport there is an option to ‘Transfer with Us’ to/from/between safari locations => please check the relevant box below.

Transfer with Us?*

Yes please - I would like more (no obligation) information on this

No thank you - I have my own transport

Don't know yet

Personal Details

Your Name*

First Last

Your Date of Birth*

Your Email*

Your Phone*

Your Address

City County / State / Region Country

Your Emergency Contact*

First Last

Your Emergency Contact Phone*

Your Travelling Companion

Sharing with Name (Guest 2)*

First Last

Please tell us here who you are sharing with?

Date of Birth (Guest 2)*

Dietary, Medical, Allergies

Any special dietary requirements?

Are you vegetarian, vegan or something else that we need to cater for? If you are sharing - please provide details for yourself and your traveling companion.

Any Allergies?

Do you suffer from any allergies dietary or otherwise that might impact your trip? If you are sharing - please provide details for yourself and your traveling companion.

Any Medical Conditions - Special Assistance Needed?

Please tell us about any medication you are on that we would need to know in the event of an emergency? If you are sharing - please provide details for yourself and your traveling companion.

T-Shirt/Fleecy

T-Shirt/Fleecy Size (Guest 1)*

X-Small (Chest Size 78-84)

Small (Chest Size 84-90)

Medium (Chest Size 90-98)

Large (Chest Size 98-106)

X-Large (Chest Size 106-114)

XX-Large (Chest Size 114-120)

T-Shirt/Fleecy Size (Guest 2)*

X-Small (Chest Size 78-84)

Small (Chest Size 84-90)

Medium (Chest Size 90-98)

Large (Chest Size 98-106)

X-Large (Chest Size 106-114)

XX-Large (Chest Size 114-120)

Don't know yet

Staying in Touch

Where did you hear about the safari?*

Please email me updates*

Yes

Confirmation

Indemnity*

I agree

PLEASE NOTE THE FOLLOWING: BY AGREEING YOU CONFIRM THAT YOU AND ANY PARTIES YOU ARE BOOKING FOR HAVE READ AND UNDERSTOOD OUR WAIVER AND INDEMNITY AGREEMENT AND OUR TERMS & CONDITIONS ACCESSIBLE BY CLICKING ON THE BUTTONS BELOW. IF YOU ARE UNABLE TO ACCESS THESE DOCUMENTS PLEASE CONTACT US FOR A COPY.

Total Due Now

This field is for validation purposes and should be left unchanged.