Reservation Form

The Blue Train - 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:

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	Your Credit Card:MasterCardVISAJCBAmerican ExpressDiners Club
*Card Holder
*Card Number
*Expiration Date	Month01 Jan02 Feb03 Mar04 Apr05 May06 Jun07 Jul08 Aug09 Sep10 Oct11 Nov12 DecYear20132014201520162017201820192020202120222023
ID or Passport Number
American Express only, I.D. Number
This is a legally binding reservation request and I authorize Blue Travel to disclose my personal information to Spoornet - The Blue Train. I give permission for Spoornet - The Blue Train 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	Please select your Blue Train JourneyCape Town to PretoriaPretoria to Cape Town
*Start Date	Day12345678910111213141516171819202122232425262728293031 MonthJanFebMarAprMayJunJulAugSepOctNovDec Year20132014
*Luxury or Deluxe Suite	Luxury Suite    Deluxe Suite
*Double or Twin Beds	Double Bed    Twin Beds    Single
*Please indicate preference	Non-smoking    Smoking
*No. of Passengers	1234

PARTICIPANTS:
	Title	First Name	Last Name	Birth 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.)
ADDITIONAL COMMENTS:
To make a reservation please click on the Send Reservation button above. THANK YOU for your business!

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