TOTALLY EXTREME ADVENTURES WWW BOOKING FORM

Please note: Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your response to the questions on this form to: Totally Extreme Adventures.

If you've got this far you're probably interested in booking a place for yourself or others on one of our amazing African adventures - GOOD MOVE! Right, first there's a bunch of legal mumbo jumbo about booking conditions, payment etc...PLEASE GO TO THE HTML DOCUMENT AND READ THIS CAREFULLY (There'll be a written test on this later). We've tried to make the booking procedure as painless as possible so please bear with us.

E-MAIL ADDRESS:                   

SURNAME MR/MRS:                   

FIRST NAME:                       

PHONE(BUS):                       

FAX:                              

PHONE(HOME):                      

ADDRESS:                          

CODE:                             

DATE OF BIRTH:                    

OCCUPATION:                       

PHYSICAL CONDITION:               

NATIONALITY OF PASSPORT:          

PASSPORT NUMBER:                  

NAME AND ADDRESS: NEXT OF KIN:    

DIETARY PREF eg VEGETARIAN:       

BOOKING FOR WHICH TOUR:           

DEPARTURE DATE OF TOUR:
Contact AfricanAdrenalin with any queries!

BOOKINGS WILL ONLY BE FINALISED AFTER WE HAVE PROCESSED YOUR PAYMENT DETAILS AND HAVE e-MAILED YOU WITH CONFIRMATION. BY SUBMITTING THIS FORM YOU SIGNIFY THAT YOU HAVE READ AND AGREED TO THE CONDITIONS SET OUT IN THIS DOCUMENT.