Northlands Corner Shop 5D New Market Street Northriding Private bag X 26 Suite 7 Northriding 2162 Director: H Erler (Austria) Director: C Martin (German) Vat#: 4630201533 Co Reg: 2000/020942/07 [email protected] TEL: +27 11 462 3673 TEL: 0861 123 754 FAX: +27 11 462 1938 Docex 139 Randburg BOOKING FORM Passenger details to be completed (AS PER PASSPORT) (If dual passport holder please state passport details of SA Passport) Please return completed form PLUS copies of your passports to FAX: 0862 312340 or [email protected] RESORT YOU ARE BOOKING FOR: _________________________________________________________ VISA REQUIREMENTS: Please see below as well as our website for the latest birth certificate requirements for all children under the age of 18 years!!! All South Africa passport holders require visas which can be obtained from the relevant Embassy. TERMS AND CONDITIONS (‘T&C’): All bookings are subject to Pure Skiings’ T&C – see below CURRENCY & RATE OF EXCHANGE: Payment of the deposit does not secure the rate of exchange – see below PROTECTION OF PRIVATE INFORMATION: see below Title Surname (As per Passport) First Names (As per Passport) Age Nationality of Passport Passport Number ID Number Age given must be at time of travel. Please place your names and tick the relevant blocks: Name: Beginner Intermediate Advanced Skiing Snowboarding Private Lessons Group Lessons Please enquire about Additional costs for Snowboarding and Private Lessons!!!! CLIENTS PERSONAL DETAILS: For delivery of travel documents- Delivery contact person, address, and area postal code: __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ Telephone Work: __________ ___ ______ Cell number: ________ ______ Home number: ____ Email Address: ___________________________________________________________________ ______ ____ _________ ______ _______________ Your Emergency Contact # while abroad: ___________________________________ Medical: - for insurance purposes with Ski Leading Tours Please specify any medical conditions: _________________________________________________________________ Please list any food allergies: _________________________________________________________________ Name of Doctor: ___________________________________________ Tel number: __________________________________ Contact Person in Case of Emergency: __________________________ Work number: _______________________________ Relationship to you: ________________________________________ Cell number: _____________________ ____________ Insurance is a requirement for Visa’s; the Insurance included in your package is valid for ski package only. This can be extended to cover entire trip should you be travelling longer than ski dates. Please take a look at policy inclusions. You are welcome to upgrade, please enquire about extra cost. FLIGHT/TRANSFER DETAILS: Please tick the relevant preference for the airline seating although cannot be guaranteed: Aisle (if available) Special Meal requests: (for religious & health reasons only)_______________________________________________ Window (if available) Should you not be taking our flights – Please provide arrival and departure details which coincide with Airport transfers. DATES FLIGHT # ROUTING DEP TIME ARR TIME ARR DEP Coach transfers: Flights must arrive before Midday and depart after midday. Group Coach Transfers: Depart airport at +- 10h00 and return to the airport at +- 10h00. If you wish to rather book PRIVATE transfers, please enquiry about additional costs. PAYMENT - See terms and conditions Method of Payment: Cash / Transfer Cheque Credit Card Our Bank Details: Ski Leading Tours Invoice made out to: ______________________________________________ Standard Bank Northcliff Travel Agents VAT Registration No: _______________________________________ Account: 002933489 Branch Code: 006305 Postal Address: ______________________________________________ Payment Policy: Non-refundable deposit of Land: R5000.00 per person is required within 3days of booking. Failure in receiving the deposit will result in automatic cancellation of reservation. Completed booking forms are needed before we are able to secure reservation. Any Published airfare that are outside our allocation will have to be paid in full, on booking, in order for us to issue tickets and hold confirmed seats and price. VISA REQUIREMENTS - CHILDREN UNDER THE AGE OF 18 Please note that it is the exclusive duty of all passengers to comply with South African visa regulations in general and in particular regarding children and the latest information can be obtained form the South African department of home affairs. TERMS AND CONDITIONS (‘T&C’): All enquiries and business conducted with Pure Tours (‘Pure’) are done subject to the Pure’s Standard Terms and Conditions of Sale (‘T&C’), a copy of which is available on request or can be found on the Supplier’s website www.pureskiing.co.za . Every enquirer and person engaging in a transaction with Pure is deemed to have read, understood and agreed to be bound by the T&C. If any enquirer or person engaging in a transaction or contemplating to do so has any misapprehension about such transaction or the implications thereof, such enquirer or person must contact Pure in person, telephonically or via e-mail indicating the misapprehension and requesting an explanation in terms of the Consumer Protection Act, Act 13/2008. Once a booking is made, it means that if the enquirer had any such misapprehension it has been explained to his/her satisfaction, onerous clauses have been brought to his/her attention & abnormal and dangerous risks have been explained to him/her’. DEPOSIT & RATE OF EXCHANGE (‘ROE’): Note that payment of the deposit DOES NOT secure the rate of exchange Pure requires a R5000 (Five Thousand Rand) deposit per passenger to secure the package. Payment of this deposit does not secure the ROE - the latter can ONLY be guaranteed if the Client pays the cost of the total package in full at time of booking. Failing that Pure will recalculate the cost of the total package (including the deposit) at time of full payment and advise the Client of the balance due for the total package based on that days ROE. PROTECTION OF PRIVATE INFORMATION & DIRECT MARKETING: I the undersigned (‘the Client’) hereby give my voluntary, specific and informed consent that Pure may: process my personal information (both terms as defined in the Protection of Personal Information Act, act 4 of 2013 [‘the POPI’]), which processing includes amongst others the ‘collecting, storing and dissemination’ of my personal information (as defined in POPI); share my personal information with third parties who provide services and products ancillary to the products and services I have obtained and will obtain from Pure; approach me with business opportunities, promotional events, special offers and sales pertaining to any merchandise that Pure may be selling or promoting at the time, which approach may be by direct marketing (as defined in the POPI) or otherwise; I the undersigned furthermore warrant that such information is accurate, relevant, up to date and complete and I undertake to advise Pure forthwith and in writing of any material change of such information The parties agree that: The consent will remain of full force and effect until withdrawn in writing by the Client; The Client may withdraw or qualify such consent by advising the Supplier in writing at any time; The Client may at any time in writing amend his personal information or request the Supplier to delete his personal information and such deletion or change must be carried out forthwith and in the case of deletion, the Supplier must provide adequate proof that the personal information has been deleted The Client furthermore gives my voluntary, specific and informed consent that Pure may send me direct marketing (as defined in the POPI and the Consumer Protection Act, Act 68 of 2008 (‘the CPA’) subject to the following: I may at all times to pre-emptively block any communication; I may at all times request the Supplier to discontinue any form of direct marketing and the cost of communicating such request will be at the expense of the Supplier; Any direct marketing must only be communicated to me during the hours authorized in the regulations issued in terms of the CPA; The information contained in the communication must only relate to goods or services similar to that which I have purchased from the Supplier; Each direct marketing communication must contain a provision giving me a reasonable opportunity to object, ‘free of charge & in a manner free of unnecessary formality’ to use of my electronic details Name: Surname: SIGNATURE: ________________________________ DATE: ___________ ________
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