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Reservations & Enquiries: res@africalandtours.

com
Sales & Marketing: johan@africalandtours.com
# 27(0) 83 625 4053
Operational Centre: yolandie@africalandtours.com
Cell : # 27 (0) 83 647 7271
Fax: # 27 (0) 16 428 3301

PO BOX 3053, VEREENIGING, 1930


SOUTH AFRICA

INDEMNITY FORM
Must be Printed, Signed by Each Passenger and faxed to the Operational Centre
+27(0) 16 428 3301

I _______________________ hereby acknowledge that I have read and


understand this Indemnity form and agree to be bound by it.

Insurance:

I hereby accept ______ or decline ______ travel insurance.


I am aware of the risks of not accepting travel insurance and acknowledge that the insurance
provided by credit card companies may be inadequate.
I hold harmless and indemnify Africa Land Touring Operators and/or its Directors and/or
employees and/or any Representative of Africa Land Touring Operators and/or any
Suppliers of Africa Land Touring Operators against any consequences of not having any
travel insurance or of having inadequate travel insurance, including (without limiting the
generality of the aforementioned) any loss, damage, illness, injury or death due to any travel
arrangements as per the accepted itinerary, or as a result of any travel arrangements that were
changed, amended or cancelled.

I am aware of and have read the Standard Terms and Conditions of Africa
Land Touring Operators.

Very important: Please note Re-Signing of this Document:

If the Passenger is under 21 years of age, his/her parent(s) or guardian(s) must co-sign this
document.
Failure of signing this document by any passenger will result in the cancellation of the
booking of such a passenger.

All business is conducted in accordance with the Terms and Conditions of


Africa Land Touring Operators and it is deemed that these Terms and
Conditions have been read and accepted by the passenger.

Name of Passenger : _______________________________________________

Signature of Passenger: ____________________________________________

Date and Place of Signing this Document: _____________________________

JOHAN SLABBERT CC T/A AFRICA LAND TOURING OPERATORS CK/89/38.607/23 VAT 4600171781
MEMBER: JOHAN SLABBERT

www.africalandtours.com