PLEASE FILL OUT THE FORM BELOW TO SUBMIT YOUR PAYMENT INFORMATION FOR PROCESSING.

Each passenger will fill out the Debit|Credit Card Authorization form unless there is one responsible party. If you have questions please call us at 1-844-267-8727 (1-844-ANSURA7). All fields marked with an asterisk (*) are required.

Initial Deposit $200.00 per person

Final payment Date July 3, 2023

Reservations made after final payment date (July 3, 2023) must be paid in full at the time of booking.

    Responsible Party Name

    Roommate(s) Name

    Cardholder First Name*

    Cardholder Last Name*

    Credit Card Number*

    CVV*

    Expiration Date*

    Amount*

    Card Type*

    Billing Address*

    City*

    State*

    Zip Code*

    Name of Event*

    By checking below you accept and agree to the terms & conditions of this South Africa September 2-8, 2023 Tour for you and on behalf of your roommate, if paying on his/her behalf. You accept the following:

    Name changes allowed up to 60 days prior to travel date.
    Non-Refundable Deposit: $200 per person, if cancelled 60 days prior to travel date.

    Email Address*

    Phone Number*

    Additional Comments