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Tour Reservation Form

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Complete the following form and click the SUBMIT button. Print and send us a copy of the completed and signed form together with your payment including photocopies of the front and back of the credit card and of the cardholder’s Government-issued identification (if paying with a credit card). Tour documents will not be issued and travelers will not be permitted to participate in a Palace Travel tour if this completed Reservation Form is not received in our office prior to the start of the tour. Cancellation penalties will apply.

Click Here To Complete the Credit Card Authorization Form

Click Here to Download a Printable Version of the Form

General Tour Reservation Form

General Tour Reservation Form

Your Information

Tour name/Group name:

Tour Date:

Travel Agent/Group Leader:

Room Type Request:

Reservation Agent:

Select Destination(s):

Algeria

Angola

Benin

Botswana

Burkina Faso

Côte d'Ivoire

Cameroon

Cape Verde

Central African Republic

Chad

Gabon

Gambia

Ghana

Guinea

Guinea-Bissau

Kenya

Lesotho

Liberia

Libya

Madagascar

Malawi

Mali

Mauritania

Mauritius

Morocco

Mozambique

Namibia

Niger

Nigeria

Reunion

Rwanda

Sao Tome and Principe

Saudi Arabia

Senegal

Seychelles

Sierra Leone

Somalia

South Africa

South Sudan

Sudan

Tanzania

Togo

Tunisia

Uganda

Zambia

Zimbabwe

Preferences

Room Sharing:

Single supplement for the additional cost quoted.

I will share a room with (enter roommate's name)

I will share with another traveler (Share not guaranteed)

Enter Roommate’s name:

Smoking Option:

Non-Smoking

Smoking

Your Information

First name:

Last name:

Address

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country

Country

Phone Number:

Email

Passport #:

Country of Issue:

Date of Birth:

Issue Date:

Expiration Date:

Emergency Contact

Emergency Contact First Name:

Emergency Contact Last Name:

Phone #:

Relationship to Traveler:

Enter relationship to the traveler

Do you want to add another traveler?

First name:

Last name:

Address

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country

Country

Phone number:

Email

Passport #:

Country of issue:

Date of Birth:

Issue date:

Expiration date:

Emergency contact

Emergency Contact First Name:

Emergency Contact Last Name:

Phone #:

Relationship to traveler:

Enter relationship to the traveler:

Add Traveler Remove Traveler

Payment Details

Amount

Payment Method

Credit Card

Credit Card

Enter Card Number

Enter Card Number

Select Month

Select Month

Select Year

Select Year

Enter CVC

Enter CVC

Need help or have questions?
E-mail: [email protected]
OR CALL +1.215.471.8555

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