Sunday, 05 Sep 2010
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Personal Information
Full name, surname as per passport:
Nationality in passport:
Country of residence:
Date of birth:
Passport number:
(plus expiry date)
Contact Information
Postal address:
Tel Fax
Please include country dialing code.
E-mail
Special Requests
Seats (Flights):
(Window/Aisle)
Hotel Rooms
(Smoking/Non-Smoking/Ground Floor)
Meals
Allergies
Airine Membership
Airline Membership Number
Booking Details
All dates in dd/mm/yyyy format
Arrival Date Dept date
Destination
Requirements
No. of Adults in party No. of Children in party (ages in brackets)
Room Requirements x Single Room x Single Double
  x Single Triple x Single Family
Your Message
TRAVEL INSURANCE (international/regional/domestic bookings) & Rufaro T&C:
 

Yes, I want to take out travel insurance with Rufaro.

No, I am declining travel insurance offered by Rufaro and have either arranged through my normal travel agent, have my own insurance or am wavering Rufaro from any responsibility should anything happen to me whilst travelling internationally/regionally.

Yes, I have read Rufaro’s Terms and Conditions.
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