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  Baz Bus Ticket Booking Form  

Please complete all of the fields and either print / fax
to the number below OR send via e-mail form
.
FAX TO : +27 +21 423 8790
  [*] Indicate required fields

Name

[*]

Surname

[*]

E-mail

[*]

Contact adress

Telephone number & country code:
Fax number & country code:

Residential Country

Travelling partner`s name and surname

Passport Number

Nationality

E-mail

Selected Route
One way or Return

Departure From

If other selected from Departure - specify here

Departure from Hostel
( to see hostel details click here..)

First Hop off at

End Destination

If other selected from End Destination
- specify here -

Requested departure date

Tour Booking

Amount of tickets you would like to purchase

Where did you hear about the Baz Bus.

Payment:  

Card type  Visa Mastercard

 

Credit Card Number

Last 3 digits / CCV on the back of card

Expiry date

Cardholder Name

Passport Number of card holder

Nationality of card holder

Amount
CLICK HERE for currency converter

 

Yes, I have read the
Terms and Conditions page [*]


   

 














 
Other transport enquiries call or
e-mail the Ashanti consultants.
 

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