Blue Travel

 
Reservation Form

Rovos Rail / Rovos Air
Luxury Rail / Air Safaris in Southern Africa

Please fill out this form completely, and be as specific as you can. Items marked with an asterisk (*) are required information. You may also print out our Fax Form and fax it to one of our worldwide offices:

USA Toll Free
1-877-605-6888		Australia
+61-2-9475-4888		Germany
+49-69-3809-9888
 
CUSTOMER:
  Mr. Mrs.
*Last Name
*First Name
*Street
*City, State & ZIP/Postal Code
*Country
Tel. (+ area code)
Fax (+ area code)
*E-Mail
PAYMENT:
*Card Type
*Card Holder
*Card Number
*Expiration Date
American Express only, I.D. Number
This is a legally binding reservation request and I authorize Blue Travel to disclose my personal information to Rovos Rail. I give permission for Rovos Rail to charge my credit card accordingly with the appropriate costs for all reservations requested herewith. I acknowledge that I am the authorized card holder of this account, have read the Terms and Conditions and agree to abide by them.
RESERVATIONS:
*Journey
*Start Date
*Pullman, Deluxe or Royal Suite Pullman   Deluxe   Royal
*Twin or Double Bed Double   Twin   Single
*Please indicate preference Non-smoking   Smoking
*No. of Passengers
PARTICIPANTS:
 TitleFirst NameLast NameBirth Date
(day/month/year)		Nationality
*1.
2.
3.
4.
FURTHER DETAILS:
Special Requirements
(e.g. Dietary etc)
Pre-Train Journey Details
(Hotel/ Flight, Date, Times, Tel.)
Post-Train Journey Details
(Hotel/ Flight, Date, Times, Tel.)
Name & Address of Persons
to be contacted in Emergency
ADDITIONAL COMMENTS:
To make a reservation please click on the Send Reservation button above.
THANK YOU for your business!
 
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Last modified: 19 Aug 2008 18:45