Registration for Africa & Dubai
October 1 – 14, 2022

Please submit a separate registration for each traveler

After you complete and submit this form, you will automatically be re-directed to the Payment Page for secure online payment by credit or debit card. A $750 deposit ($825 via credit card) is required to reserve your space on this tour.

AFRICA

First Name

The name you enter above must be exactly as it appears or will appear on your passport.

Middle (if applicable)

Last Name

The name you enter above must be exactly as it appears or will appear on your passport.

Birth Date (Day/Month spelled out/Year) *

Address *

Number & Street

City *

State/Province *

ZIP/Postal Code *

Country

If not USA

Phone *

I am *

Male

Female

Passport Number

If you do not have a passport at this time, please submit this form now and provide RMC with your passport information after you receive your passport.

Country of Issue *

Passport Issue Date (Day/Month spelled out/Year)

Passport Expiry Date (Day/Month spelled out/Year)

Your passport expiry date should be more than six months after the ending date of this tour (September 26, 2021) .

I am requesting *

Double Accommodation

Single Accommodation

(Optional) My roommate will be:

RMC Travel will try to match you with a suitable roommate if left blank and Double accommodation selected.

Optional Message

If you require a special diet or have physical limitations that require special attention, please describe here. (Most situations can be accommodated, but we must know beforehand in order to make arrangements, and there may be additional costs.) [AFRICA]

If you are human, leave this field blank.

By submitting this form, you are accepting the Terms & Conditions.

RMC highly recommends the purchase of Trip Cancellation Insurance, and our preferred insurance provider is Allianz Global Assistance.

Registration for Africa & Dubai October 1 – 14, 2022

Registration for Africa & Dubai
October 1 – 14, 2022