Tanzania Trip Booking Form
Starlight Global Trip Booking Form
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Email *
First Name & Surname *
Contact Number: *
Address: *
Date of Birth: *
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Occupation: *
How did you hear about the trip? *
What do you hope to get from participating in the trip? *
What are your areas of interested? *
What is you ethnicity? *
Do you have any disability? *
Do you have any dietary requirements? *
Are you travelling alone *
Do you have a share partner? *
If yes, what is the name of your share partner?
Emergency contact Name: *
Emergency contact Email Address: *
Emergency contact tel number: *
Relationship of Emergency Contact: *
I have read the terms and conditions and liability disclaimer forms and agree to comply with its terms and conditions.  I also acknowledge that the £200 deposit is non-refundable. (Visit website to view T&C and Liability Disclaimer Forms) https://www.starlightglobal.co.uk/book-now-tanzania-2020 *
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A copy of your responses will be emailed to the address you provided.
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