EmailMe Form - Tour - South Africa & Robben Island

Travel With Serenity LLC
(770) 685-4398
glenda@travelwithserenity.net
Stockbridge, GA
Henry County Chamber of Commerce, Member
Current Date *
MM / DD / YYYY
Name PAX No. 1 *
First Middle Last
Date of Birth *
MM / DD / YYYY
Cell Phone *
### - ### - ####
Email *
US Citizen?
Yes
No
City & State of Residence
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Will You Have A Roommate? *
Yes, list name below if roommate on your credit card. IF ROOMMATE ON SEPARATE CREDIT CARD LIST NAME ONLY & ROOMMATE MUST COMPLETE SEPARATE FORM.
No, leave roommate info blank.
PAX No. 2, list all applicable info
Name PAX No. 2
First Middle Last
Date of Birth PAX No. 2
MM / DD / YYYY
Cell Phone PAX No. 2
### - ### - ####
Email PAX No. 2
US Citizen?
Yes
No
City & State of Residence
Address PAX No. 2 if different

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Travel Date - Per Person Double Occupancy - Flight Departure from JFK (Other Cities Available *
Oct 17, 2023 - $4139
Nov 14, 2023 - $3979
Dec 5, 2023 - $3959
Jan 5, 2024 - $3879
Feb 6, 2024 - $3839
Mar 5, 2024 - $3849
Mar 26, 2024 - $4059
Available dates and prices subject to change notice. Prices shown are per person double occupancy
Flights *
I/We will book/arrange flights and provide info for transfers prior to final payment.
Travel With Serenity to book flights provided via supplier from Los Angeles.
Travel With Serenity to book flights provided via supplier from home city airport (list below).
Book early for best rates. Travelers should self-book so you can immediately address flight issues that may arise.
Travel Protection - Non-Refundable *
Info/cost will be provided, price varies, depending on the options selected. Traveler may accept or decline.
Deposit:
$300.00 per person non-refundable, plus Travel Protection if elected
Deposit may increase per supplier.
Bed Preference *
One Bed
Two Beds
Are you ready to ready to book? *
Yes
No
How did you hear about Travel With Serenity? *
Facebook
Family or Friend
Prior Client
Internet
Website
Instagram
LinkedIn
Showcase, Expo, Exhibit
Terms Conditions, Travel Retainer - Travel With Serenity *
The 1st quote is free. A minimum non-refundable retainer of $50.00 is due in advance for additional quotes; travel/vacation/flights/tours/excursions research, changes, cancellations, etc. Pricing and availability subject to change without prior notice per the supplier. Travel With Serenity serves as a booking agent on behalf of the supplier and is not responsible or liable for any inconveniences resulting from actions of the travel supplier(s). It is the guest’s sole responsibility to be aware of and to meet eligibility for travel and county entry requirements -- inclusive of passports, VISA, Green Card, health guidelines, etc. Travel With Serenity is not responsible for travel supplier cancellations or flight refunds, that is the responsibility of the travel supplier and the airlines.
Acknowledgment: Terms & Conditions, Travel Retainer - Travel With Serenity *
Yes, I have read the Terms & Conditions, Travel Retainer and will comply as applicable.
Traveler Acknowledgment *
I/We are responsible for being aware of, eligibility and complying with ALL travel documents, guidelines, country entry requirements and any penalties that result from denied boarding/travel, etc.
Signature *
Clear
Comments
Image

PAX No. 2, list all applicable info