310 Dahlia Place, Suite A,
Corona del Mar, CA 92625-2821

Tel:        949.427.0199
E-mail:   Request@DavidTravel.com
Web site:            http://www.DavidTravel.com

Name of each person for whom payment is being made.  For Non-US Destinations, Name on Passport & Passport Number.

Name1.______________________________ Passport # _______________Email:____________________

Home Phone:_____________________ Bus. Phone: ____________________ Fax: ___________________

Billing address:  __________________________________________________________________________

Name2.______________________________ Passport # _______________Email:____________________

Home Phone:_____________________ Bus. Phone: ____________________ Fax: ___________________

Billing address:  __________________________________________________________________________

Dates of Tour and Destinations  _____________________________________________________________

Your Arrival Date where Tour Begins ___________Your Departure Date from where Tour Ends___________

Land Cost per person of Tour ______________________    Single Supplement _______________________

Any additional per person costs noted in the itinerary _______________________ (e.g.: air charter to private game reserve).

Deposit (per person) required to hold space: $500 for Non-US Destinations or $100 for US Destinations.

Balance Due Date and Amount: _______________________________(121 days prior to departure. Please see the balance due dates below or on the reverse side of this form and fill in that date.)

RESPONSIBILITY.
Booking of a DavidTravel tour is acknowledgement by the consumer(s) of and consent to all of the  DavidTravel TERMS AND CONDITIONS set forth in the document with 18 numbered sections referenced below, including, but not limited to, our cancellation/refund policy and the limitations of liability of  DavidTravel.

Forms of payment accepted: check, money order, or wire transfer.
Cancellation and change penalties apply as set forth in the  DavidTravel TERMS AND CONDITIONS.

Each traveler and each person making any payment must sign this booking form.
By signing I confirm review and acceptance of my travel details and the DavidTravel
TERMS AND CONDITIONS with the Document ID Code at end of document: DT-Terms&Conditions-3-17-00.
 

____________________________________________________
Signature                                                            Date
 

_____________________________________________________
Signature                                                            Date

Note: Identification is required.  Please provide a photocopy of the driver’s license of each traveler and each person sending payment.  For Non-US destinations, please provide a copy of your passport.  It is the consumer’s responsibility to update and provide us with their most current addresses and telephone numbers.

DavidTravel
310 Dahlia Place, Suite A,
Corona del Mar, CA 92625-2821

Tel:        949.427.0199
E-mail:   Request@DavidTravel.com
Web site:            http://www.DavidTravel.com

CST # 2033267-40
w-LA-BookingForm-3-17-004.doc