Travel Friends Network ‐ South Africa: November 2‐12, 2010 TRIP APPLICATION FORM PERSONAL INFORMATION (Please list all travelers’ information – 1 form per household) TRAVEL INSURANCE: TO COVER A TRIP COST UP TO $4000/PERSON* Name # 1 (exactly as on passport): I/We would like Travelex Custom Max for $299 per person + $8 processing fee (includes trip cancellation/interruption coverage, accident/medical, evacuation and more) Date of Birth (mm/dd/yyyy): Passport Number: Expires: I/We would like Travelex Custom Select for $167 per person + $8 processing fee (includes trip cancellation/interruption coverage, accident/medical, evacuation and more) Name # 2 (exactly as on passport); Date of Birth (mm/dd/yyyy): I/We would like Travelex Custom Max WITHOUT trip cancellation/interruption coverage for $36 per person + $8 processing fee. Passport Number: Expires: Address: I/We decline travel insurance. I understand proof of adequate insurance is required for participation and I will provide proof by returning the waiver form. City: State: Zip: *Policy cost is based on total trip cost and can be adjusted later. Complete details on the policy Telephone (day) ( ) Evening ( ) benefits are available on our website www.bortonoverseas.com or by calling Borton. Email: IMPORTANT: to include many pre‐existing conditions, policies MUST be purchased within 21 days of deposit for CUSTOM SELECT policy and within 30 days for CUSTOM MAX policy. OPTIONS: to discuss insurance options, please call Borton or visit our website above. HEALTH DECLARATIONS (PLEASE INDICATE FOR WHICH TRAVELER) Do you have any special needs or allergies? If yes, please describe: PAYMENT INFORMATION All check payments should be made out to Borton Overseas and mailed to the address below. Do you have any dietary restrictions? If yes, please describe: I prefer to pay by credit card: (check one) Visa MasterCard Amex Discover Please mention any other health concerns you would like us to be aware of: Card Number: Exp Date: 3 or 4 digit security code: Name as it appears on the card: SPECIAL REQUESTS: Billing Address (if different than mailing address) I request a single room. If confirmed, the supplement is $930. Address: I request TFN to pair me with a roommate if possible. City: State: Zip: Card holder agrees to perform the obligations set forth by the card holder’s agreement with issuer. I am sharing a room with ______________________________________________ When possible, I/we prefer 1 Bed 2 Beds X ______________________________________________________________________ Signature of Card Holder Date Star Alliance number (traveler #1) Star Alliance number (traveler #2) ACCEPTANCE OF TERMS – I have read the complete Terms and Conditions as stated by Borton Overseas and agree to them as For frequent flier information visit: www.staralliance.com outlined. (Must be signed by all travelers) #1 ____________________________________________________________________________ Please return your completed form to Jody at: Borton Overseas, 5412 Lyndale Avenue South, Minneapolis MN 55419 #2 ____________________________________________________________________________ email@example.com FAX 612‐822‐4755 Signature Date Phone: 612‐661‐4625 or 800‐843‐0602, ext. 15 A F R I C A T O U R T E R M S & C O N D I T I O N S Baggage Travel Documents Each person will be allowed to bring 1 medium soft‐sided bag and 1 small carry‐on (or camera bag) on safari. All travelers must be in possession of a valid passport that will have at least 6 months validity remaining AFTER For inter camp flights within Africa, baggage must not exceed 44lbs. per person including all carry‐ons. you return back to the USA. You should have several blank pages available in your passport for necessary Charter flights require soft‐sided bags (duffel is preferred) that can be manipulated into small baggage entry/exit stamps. South Africa requires 2 consecutive, blank visa pages for entry. Visas are required for US compartments. Any excess baggage charges must be settled directly with the airlines. Borton Overseas will not citizens in many African countries. If advance visas are required, applications and instructions will be included in be responsible for extra charges associated with excess baggage. Restrictions differ with every itinerary. Please your pre‐departure packet. Non U.S. citizens should consult the appropriate consulates or call Borton Overseas for contact your agent about the baggage limits for your specific itinerary. assistance. Borton Overseas cannot be held liable for invalid or lack of proper entry and travel documents. You can download forms to renew your passport or to receive additional passport pages, from our website links page: Responsibility and Release of Liability and Assumption of all Risks www.bortonoverseas.com, click on LINKS. Borton Overseas and Travel Friends Network acts only as agent for the contractors and suppliers providing transportation, accommodations, tours or other services. All tickets and vouchers are issued subject to any and Deposits and Payments all terms and conditions under which transportation, accommodations and other services are offered or A completed Trip Application and non‐refundable deposit of 20% of total trip cost per person is required at the provided and constitute the sole contract between the supplier and the tour member. Borton Overseas shall not time of confirmation. The balance is due no later than 60 days prior to departure. If reservations are made within be responsible in any way for loss, injury or damage arising from an Act of God, Acts of Governments or de facto 60 days of departure, the entire amount is to be submitted at the time of confirmation authority, war, civil unrest, any kind of hostilities, strikes, theft, sickness, quarantine, immigration or customs regulations, hijacking, acts of terrorism, breakdown, delay, cancellation, error, omissions or any other cause Payments can be made by check or credit card, unless special conditions apply. Payments from anyone residing beyond our control. outside of the USA must be made via bank wire transfer. Details and instructions will be given with invoices. Borton Overseas reserves the right, without advance notice, to make changes or cancellations, in part or in A fee of $75 per party is added to reservations made within 30 days of departure from the USA to cover expedited whole, as circumstances dictate; this may include changes in lodges/hotels/camps and in the itinerary. services and communications and payments must be made by cashiers check or bank wire. For those residing overseas, a fee of $75 will be added to cover mailing of final documents. A nonrefundable $100 file fee is required Borton Overseas and their agents, including Travel Friends Network are released of liability for consequences of at the time customized services are requested. This fee will be applied toward the final tour balance. A $25 fee will the personal activities of any passenger, who, as a consenting adult, is deemed personally responsible for be assessed for each change made once services are confirmed. Any change within 45 days of departure will be decisions concerning conditions of health, safety, fitness for any activity in which the passenger participates. At treated as a cancellation and rebooking. the sole discretion of Borton Overseas, or their agents, suppliers or group leaders, any passenger partaking in illegal activity of any kind may result in expulsion from the trip without any refund of unused tour Rates and Fares arrangements. The passenger acknowledges that they are aware of inherent risks and dangers of travel to All rates and fares are those in effect at time of printing and are subject to change without notice. While every undeveloped and remote countries including but not limited to travel by vehicle, train, aircraft, and boat or on effort is made to avoid unnecessary price changes, please note that due to the volatility of the foreign currencies foot; high altitude travel/hiking and accident or illness in remote regions without means of prompt evacuation we work with, all prices are subject to change. The services of any ARC or IATA carrier may be used. or access to medical supplies and facilities. Any deposit for a package offered by Borton Overseas shows acceptance and acknowledgment of prices, exclusions, conditions and responsibilities as stated in above and Trip Insurance releases Borton Overseas and all of its agents and representatives from any and all liability, actions, causes of All Borton Overseas’ Africa‐bound travelers are required to provide proof of adequate medical and evacuation actions, suits, debts, demands that you may have in connection with your participation in a Borton Overseas trip insurance. We recommend at least $500,000 combined medical/evacuation coverage per traveler for Africa. Due or activity. to strict cancel fees, we highly recommend that you cover yourself for trip cancellation/ interruption and baggage, which are included on full policies. Policy options are included on the trip form. You can also view full details online from our website www.bortonoverseas.com, and click on INSURANCE at top. IMPORTANT: Full coverage policy will cover some pre‐existing conditions only if you purchase a full coverage policy within 21‐30 days of your initial trip payment. Otherwise, policies can be purchased up to 2 days before travel. Cancellations of Land/Charter Portion of your Journey (Terms for your International and published air flights are separate from these terms) Journeys To Extraordinary Lands All cancellations are only effective upon receipt of your written notification of cancellation. If cancellation is 60 AFRICA SCANDINAVIA WORLDWIDE CRUISES days or more before departure, your deposit is forfeited. Cancellation notice received less than 60 days prior to departure will be assessed the following fees: 59‐45 days, loss of deposit plus 25% of tour cost; 44‐31 days, loss of 5412 Lyndale Avenue South Minneapolis MN 55419 USA deposit plus 50% of tour cost; 30 days or less, 100% of tour cost. All of the above fees are in addition to any Phone 612‐822‐4640 or 800‐843‐0602 Fax 612‐822‐4755 airline enforced cancel fees or unrecoverable fees associated with high season travel. All international flights and published airfares are on separate terms. No refund can be made for any tour accommodation, service or firstname.lastname@example.org www.bortonoverseas.com feature that you do not utilize or voluntarily change. If you cancel while tour is in progress, there will be no refund for unused portions. Borton Overseas highly recommends trip cancellation insurance to protect you against cancellation penalties. Contact Borton Overseas for details.