Blue Travel, Inc.   -   RESERVATION FORM   -   Africa Unlimited Safaris
            Please fax to USA Toll Free: 1-877-605-6888 or
        Australia: +61-2-9475-4888   Germany: +49-69-3809-9888
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CUSTOMER ADDRESS:                                        (please print)
                :  ___ Mr.   ___ Mrs.
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       Last Name:  _____________________________________________________
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      First Name:  _____________________________________________________
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          Street:  _____________________________________________________
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            City:  _____________________________________________________
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      State, ZIP:  _____________________________________________________
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         Country:  _____________________________________________________
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  Tel +Area Code:  _____________________________________________________
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  Fax +Area Code:  _____________________________________________________
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          E-Mail:  _____________________________________________________
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PAYMENT:
       Card Type:  ___ MasterCard         ___ VISA
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                   ___ American Express   ___ Diners Club
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     Card Holder:  _____________________________________________________
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 Full Cardnumber:  _____________________________________________________
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 Expiration Date:  ____/____    ID/Passport No: ________________________
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This is a legally binding reservation request and I authorize Blue
Travel to disclose my personal information to Africa Unlimited Safaris.
I give permission for Africa Unlimited Safaris 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.
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RESERVATION:
4WD Safari / Motorhome Tour:  __________________________________________
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Scheduled Departure Date:     ______ / ______ / _______ (day/month/year)
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No. of People:  __________    Vehicle Type:  ___________________________
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ADDITIONAL COMMENTS:
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City and Date                        Signature