Reservation Ghana and S. Africa - Travel Brock Tours

Home >> Tours >> Ghana & So Africa >> Reservation

RESERVATION FORM

Please complete the reservation request form in its entirety. You will receive a confirmation email regarding your reservation.

NameSame as Passport

Date

Passport Number

Exp. Date

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone

Email Address

Emergency Contact

Phone

Room TypeDouble OccupancySingle OccupancyChoose One

Roommate Name

Roommate Phone

Special Request

Responsibility Disclaimer:Yes, I have read DisclaimerIn all matters related to the making of arrangements for transportation, housing, sightseeing, meals, entertainment, facilities, and services incident thereto, Brock Tours and Travel will act only in the capacity as the "agency", for you, the client and the suppliers of such facilities and services. Brock Tours shall not be responsibly if, due to causes beyond its control; such facilities or services cannot be supplied. In such case, Brock Tours/Ya'lla Tours shall use its best effort to supply comparable facilities and services. A copy of your passport will be required prior to your final payment.

Travel InsuranceYes, I understand Travel Insurance is recommended.Travel insurance coverage may be required to travel to Egypt and Turkey

Terms & Conditions:Yes, I agree to terms & conditions.I have read and understand the terms and conditions as outlined.

TOUR OPERATORS:

Brock Tours & Travel/Ya’lla Tours** 2458 Wesley Chapel Road** Decatur, GA 30035

Phone: (770)-987-9374 or Fax: (770)-987-9376 **** Email: brocktours@bellsouth.net