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FUMC Trippers presents…
Spectacular South Africa
Culture & Nature in Harmony
with Optional 3-Night Victoria Falls Post Tour Extension
February 17 – March 1, 2015
Book Now
& Save
$
250
Per Person
For more information contact
James Hook
FUMC Trippers
940-383-4678
[email protected]
13 Days ● 21 Meals: 11 Breakfasts, 4 Lunches, 6 Dinners
Book Now
see please note section for details
Double $4,799 *
Single $5,699
Regular rates:
Double $5,049
Single $5,949
Book Now
& Save
$
250
Per Person
Included in Price: Round Trip Air from Dallas Ft Worth Intl, Air Taxes and Fees/Surcharges,
Hotel Transfers
Not included in price: Cancellation Waiver and Insurance of $300 per person
* All Rates are Per Person and are subject to change
IMPORTANT CONDITIONS: Your price is subject to increase prior to the time you make full payment.
Your price is not subject to increase after you make full payment, except for charges resulting from
increases in government-imposed taxes or fees. Once deposited, you have 7 days to send us
written consumer consent or withdraw consent and receive a full refund. (See registration form for
consent.)
The “Collette Foundation” is an employee-run, global initiative connecting Collette employees,
its vendors, and travelers like you with partner communities worldwide in our mission to
improve the quality of life for children worldwide – one project at a time.
613680
Highlights… Johannesburg, Soweto, Panoramic Route, Kruger National
Park, Safari Game Drive, Garden Route, Knysna, Featherbed Nature
Reserve, Ostrich Farm Visit, Wine Pairing Dinner, Cape Town, Table
Mountain
Day 1: Tuesday, February 17, 2015
Overnight Flight One country with a
world of treasures, South Africa
awaits your arrival. Breathtaking
mountain scenery, winding coastlines,
remarkable cultural diversity and
abundant wildlife in its natural habitat
comprise this incredible experience.
Day 2: Wednesday, February 18, 2015
Sandton, South Africa - Tour Begins
Your journey begins in Sandton, a city
established in 1969. Famous for its
rich veins of gold and other valuable
minerals, it is now the bustling
cosmopolitan center of greater
Johannesburg.
Day 3: Thursday, February 19, 2015
Sandton - Soweto - Sandton Today
your tour manager helps you discover
the history of the languages you will
experience on your tour along with
key words and phrases. A guided tour
of Soweto – South West Township –
showcases luxurious mansions and
informal settlements as you learn
about the historic significance of the
area. Experience the regional
lifestyle when joining locals for
lunch at a nearby Shebeen or house
tavern. This afternoon, visit the
Apartheid Museum for a look into the
dynamic history of racial segregation
in South Africa. Gather this evening
with your fellow travelers for a
welcome dinner. (B, L, D)
Day 4: Friday, February 20, 2015
Panoramic Route - Kruger National
Park Travel through the spectacular
Drakensberg Mountain Range en
route to Kruger National Park, the
largest game reserve in South Africa.
Scenic wonders surround you as you
pass through the Blyde River Canyon,
made mostly of red sandstone and
known as one of Africa's greatest
natural wonders. Set against the triplet
mountain formation of the Three
Rondovals, resembling traditional
round houses of the indigenous
people, the canyon is the third largest
in the world. Along this magnificent
route you will also see Bourke’s Luck
Potholes, the dramatic natural
cylinders shaped by millions of years
of natural erosion caused by fast
flowing sand-filled waters. This
evening, enjoy a traditional BOMA
dinner under the stars where you may
sample some local game meat! (B, D)
Day 5: Saturday, February 21, 2015
Kruger National Park - Safari Game
Drive Have your cameras ready for an
unforgettable day of adventure and
excitement! Enjoy a full day open
air vehicle safari game drive. A
local expert leads you in search of
the "Big 5" – elephant, buffalo, lion,
leopard and rhino – and provides
insight into these fascinating
animals along the way. Watch
carefully – you may also see a
graceful impala, dazzling zebra or
gorgeous giraffe. Relax with a picnic
lunch surrounded by the natural
beauty of Kruger National Park. (B, L,
D)
Day 6: Sunday, February 22, 2015
Kruger National Park - Johannesburg Knysna Travel back to Johannesburg
to board your flight to George. Upon
arrival, travel to the picturesque resort
town of Knysna, in the heart of the
Garden Route, to enjoy a 3-night stay.
(B)
Day 7: Monday, February 23, 2015
Knysna Today you visit nearby
Featherbed Nature Reserve. Begin
with a lagoon cruise out to the famous
Knysna Heads which mark the
entrance to the lagoon. Next, board a
4x4 vehicle and travel deep into the
forest. Discover the local flora and
fauna during a leisurely-paced nature
walk. Enjoy lunch amongst the
ancient milkwood trees – so called
because of their white latex sap before your return cruise. This
afternoon, enjoy a drive to
Tsitsikamma Forest, a natural gem
along the Garden Route. Known for
its gorges and steep cliffs, this forest
is home to hundreds of species of
birds. Next, visit Plettenberg Bay, a
tranquil and charming town originally
known as “Bahia Formosa” (or
“Beautiful Bay”). Enjoy views of
beaches, dramatic rock formations and
lagoons. Later you return to Knysna.
(B, L, D)
Day 8: Tuesday, February 24, 2015
Knysna - Oudtshoorn - Knysna This
morning, your township tour will
highlight the diversity of this
community followed by a touching
experience as you visit a school*.
Learn about the efforts of the Collette
Foundation and the local community
to conquer the challenges of educating
the children of the region. Travel to
Oudtshoorn, the ostrich capital of
South Africa. Enjoy a guided tour of
one of the oldest working ostrich
farms in the area and, if you wish,
go for a ride on one of these great
birds! An outdoor barbecue lunch
adds to an amazing day. Upon your
return to Knynsa, enjoy some time to
explore the charming waterfront area.
(B, L)
Day 9: Wednesday, February 25, 2015
Knysna - Stellenbosch Before leaving
the Garden Route, enjoy a visit to the
Aloe Forex region where you will
enjoy an aloe tapping demonstration
and a stroll in the indigenous gardens.
Next, journey to the heart of the
beautiful wine lands region, known
for its colorful mountains and endless
vineyards. Enjoy a wine pairing
dinner this evening as you indulge in
the laid-back atmosphere. (B, D)
Day 10: Thursday, February 26, 2015
Stellenbosch This morning, set out on
a walking tour of Stellenbosch, one
the oldest European settlements in the
region. Then, spend a leisurely
afternoon relaxing and soaking in the
beauty of your hotel. (B)
Day 11: Friday, February 27, 2015
Stellenbosch - Cape Town This
morning, travel to Cape Town to
enjoy a panoramic tour of this
beautiful harborside city. Cape Town
celebrates its noted architecture that
fuses the traditions of the French,
German and Dutch. Enjoy a thrilling
ride on a cable car as it whisks you to
an altitude of more than 3,000 feet,
landing atop the aptly named, and flattopped, Table Mountain. The views of
Cape Town, Robben Island and Lion’s
Head will leave you breathless. Return
to the city via Table Bay, passing
through the Malay Quarter with its
mosques and minarets. Make a special
stop at the Milnerton Lighthouse. The
remainder of the day is at leisure for
you to discover charming Victoria and
Alfred Waterfront, known for its
shopping and entertainment venues.
(B)
Day 12: Saturday, February 28, 2015
Cape Town Explore the coastal
scenery and charming towns that
populate the Cape Peninsula. Travel
out to Cape Point, stopping for a visit
with the penguins at Boulders Beach.
On your return, explore the
fascinating and famous Kirstenbosch
Botanical Gardens, home to over
5,000 species of plants native to South
Africa. This evening, experience a
unique farewell to Africa as you enjoy
a lesson on the Djembe Drums to
learn the local beat. Then, experience
a soothing hand washing ceremony
before a traditional African dining
experience! (B, D)
Day 13: Sunday, March 1, 2015 Cape
Town - Tour Ends Your tour ends
today in Cape Town. (B)
Itinerary at a glance
Day 1
Overnight Flight
Days 2, 3 Da Vinci Hotel and Suites,
Sandton
Days 4, 5 Protea Hotel Kruger Gate,
Kruger National Park
Days 6 – 8 Log-Inn Knysna , Knysna
Days 9, 10 Spier Hotel, Stellenbosch
Days 11, 12 Commodore Hotel-Legacy
Hotels International, Cape
Town
On some dates alternate hotels may be
used.
Experience It! Kruger National Park
Imagine it: two million hectares of protected game reserve spread over the plains
of South Africa. The Big 5 roam freely. More than three hundred types of trees
rise skyward and over five hundred species of birds call this natural wonderland
home. This is Kruger National Park – one of the largest game reserves on the
continent of Africa. During your tour, really explore this gorgeous park. With a
full day game drive in an open-air vehicle, view the Big 5 – elephant, buffalo,
lion, leopard and rhino – while a local expert offers insight into these fascinating
animals. Keep an eye out for an impala, zebra or giraffe as well. Unwind during a
picnic lunch as Kruger National Park sets an unforgettable backdrop. This is sure
to be a highlight of your wilderness adventure.
Please Note:
Book Now rates valid until Sep 18, 2014,
valid on air inclusive packages only.
To complete your vacation, we include
roundtrip airport-to-hotel transfers when
purchasing Collette airfare with your tour. If you
have arranged for your own air, we are pleased
to provide you the option of purchasing these
transfers. Please note that all transfers will
leave at pre-scheduled times.
Single accommodations are limited. Triples are
not available on this tour. Rooms to
accommodate a child are limited and available
on request only.
Wildlife sightings cannot be guaranteed.
Table Mountain Cableway is subject to change
and availability due to weather conditions.
*Please note that Collette Foundation sites may
not be available for visits due to school
holidays, weekends or programming
challenges.
For important reservation information visit https://gateway.gocollette.com/link/613680.
You can also find this information on your tour documents.
Please fill out and return
TOUR: Spectacular South Africa Culture & Nature in Harmony
GROUP NAME: FUMC Trippers
DEPARTURE DATE: Feb 17, 2015
BOOKING NUMBER: 613680
AVAILABLE PREPAID OPTIONS
Personalize your tour by adding an optional activity below. Our recommended options have been carefully chosen to help enhance your
individual experience. Complete the provided Prepaid Options Form to reserve your options.
Availability is limited and reservations are on a first come, first served basis. Payment must be received no later than 15 days prior to departure.
Prices are subject to change. Children under the age of 18 MUST be accompanied by an adult.
PASSENGERS NAME: (Please submit a separate form for each passenger)
Salutation:____ First:___________________ Middle:_________________ Last:______________________ Suffix:____ Nickname:_____________
(Mr., Mrs., Rev.)
( Please print EXACTLY as it appears on Passport)

Option
Savor the Flavors of South Africa
Please make checks payable to
Collette and send to:
FUMC Trippers
Attn: James Hook
2221 Pembrooke
Denton, TX 76205
Fax: (940) 383-4678
(Jr., Sr.)
Price Per Person
(USD)
65.00
Spectacular South Africa Culture & Nature in
Harmony
RES#: 613680
TRAVEL DATE: 2/17/2015 TERRITORY: T2
For Reservations Contact: James Hook 940-383-4678 email: [email protected]
FUMC Trippers, 2221 Pembrooke, Denton, TX 76205
Deposit of $250 per person due upon reservation. Reservations are made on a first come, first served basis. Reservations made after the seat reduction date of
9/11/2014 are based upon availability. Final payment due by 12/17/2014. Please note: deposits are fully refundable up until 9/18/2014, after that date certain
charges apply.
YOUR INFORMATION:
Clearly print your full name (first/middle/last) as it appears on your government issued travel documentation.
First:
Middle:
Last:
Nickname:
Gender: ( ) Male
( ) Female Date of Birth: (month/day/year)
Address:
Phone: (
Suffix:
City:
)
Cell: (
Passport Number:
State:
)
Email Address:
Expiration Date: (month/day/year)
Date of Issuance: (month/day/year)
City, State, Country of Issuance:
Citizenship:
Emergency Contact:
ROOMING WITH:
First:
Zip Code:
Phone: (
)
 Check if address is the same as Passenger #1
Middle:
AIR GATEWAY: Departure airport for this tour:
Companion
Last:
Suffix:
Air Seat Request: ( ) Aisle ( ) Window ( ) Next To Traveling
Collette cannot guarantee your seat preference. If you have not purchased air through Collette and wish to purchase transfers, you must transfer at our pre-scheduled times.
AIR UPGRADE: I am interested in purchasing an air upgrade to: Premium Economy  Business Class  First Class 
Service is limited and not available on all flights or carriers. Other restrictions may apply.
Are you willing to separate from the group air schedule to accommodate your upgrade request? ( ) Yes ( ) No
TRAVEL PROTECTION: ( ) Yes, I wish to purchase travel protection $300 ( ) No, I decline
If you choose not to purchase Collette's Waiver Insurance Plan, you will incur penalties for changes and cancellations. Travel Protection Payment is due with first deposit. The Waiver
Fee does not cover any single supplement charges which arise from an individual’s traveling companion electing to cancel for any reason prior to departure. The single supplement
will be deducted from the refund of the person who cancels. (There is coverage under Part B which includes a single supplement benefit of $1,000 for certain covered reasons.
See Part B for details.)
EXTENSION: I wish to purchase "3-Night Victoria Falls" ( ) Yes ( ) No
PLEASE MAKE CHECKS PAYABLE TO: Collette ( ) Check ( ) Credit Card
Waiver/Insurance Amount: $___________________ Deposit Amount: $___________________ Total amount enclosed: $___________________
Cardholder Name (if paying by Credit Card):
Cardholder Billing Address:  Check if address is the same as above
Cardholder Phone:
Credit Card Number:
Amount: $
________________
Expiration Date:
SIGNATURE REQUIRED for acceptance of the below conditions and agreement to credit card use:
Date:
____
M
M
Y
Y
I agree to pay according to the card issuer agreement. I understand and accept the cancellation policy, terms and conditions. See http://www.gocollette.com/aboutcollette/terms-and-conditions for full terms and conditions of your purchase.
Important Conditions: Your price is subject to increase prior to the time you make full payment. Your price is not subject to increase after you make full payment, except for
charges resulting from increases in government-imposed taxes or fees.
Important Passport Information: Passports
must be valid for at least 6 months beyond the
intended period of stay, plus you must have at
least 2 blank pages remaining in your passport
(side by side) to allow the entry visa to be
issued for South Africa. Failure to comply with
this law will result in denied entry. These pages
are in addition to the endorsement/amendment
pages at the back of the passport.
Many activities in this itinerary include walking
on uneven terrain, or require significant walking
at times. Some of the unique experiences, such
as visiting historical areas, mean accessing
locations by foot because motorcoaches are
restricted. If you require a walker or
wheelchair, or have difficulty walking, you may
not be able to access some of these areas and
may want to consider an alternate vacation.
Our travel counselors can provide additional
information or assistance to help you determine
the perfect trip for you.
Our air passengers will arrive on Day 2 at
Johannesburg airport. All of our transfers on
Day 2 will be from Johannesburg airport to
Sandton.
For passengers transiting via Europe, an
additional overnight flight will be required. Day
rooms or overnight stays can be arranged for a
cost upon request.
Malaria pills are recommended when visiting
Kruger National Park. Consult your physician 23 weeks prior to departure.
Each client is responsible for proper
documentation and inoculations that may be
required and/or recommended to participate on
this tour. Please contact your local travel clinic
or doctor for specific details on the destinations
you are traveling to and from.
The internal flights on this program are not
included in the land price of your vacation.
These flights need to be arranged and
purchased separately if you arrange your own
air. Internal flights are included with the air
portion of your vacation if you purchase air
through us.
Air rate and schedule are applicable for groups
of 10 or more traveling on the same flights and
dates.
Extend your vacation with
Optional 4 Days 3-Night Victoria Falls Post Tour
Extension
Rate: $1,999.00 USD per person, double, land & air inclusive
5 Meals: 3 Breakfasts, 1 Lunch, 1 Dinner
Day 13: Cape Town - Johannesburg - Zimbabwe
Fly this morning* to one of the world's natural wonders, Victoria Falls, and transfer to the Victoria
Falls Hotel, known as the "grand old lady of the falls." Upon arrival you’ll enjoy a tour of this
historic hotel. Tonight, enjoy a leisurely cruise on the Zambezi River, taking in the majestic African
sunset.
Day 14: Victoria Falls
Early this morning you will enjoy an elephant back safari and a chance to meet African elephants
up close. After breakfast, you have an opportunity to interact with the residents of a local village.
Following lunch with a local family, take a walking tour of Victoria Falls, truly one of the “Seven
Wonders of the World.” Shop at a local curio market before returning to your hotel. Today
breakfast and lunch will be included.
Day 15: Victoria Falls
Your day is free to explore independently. Today breakfast and dinner will be included.
Day 16: Victoria Falls - Johannesburg - Tour Ends
Later this afternoon, board your international flight home. Today breakfast will be included.
Please Note:
A minimum of 6 passengers is required for this extension to operate.
Triple and child accommodations are not available on this extension.
Extensions not purchased at time of deposit are subject to availability and applicable
charges at time of request.
This extension is hosted by a local representative who will provide all included services.
Park fees (approximately 40 USD) are not included in the land price of your extension.
Fees are subject to change and are payable at time of final payment.
Malaria pills are recommended when visiting Zimbabwe and Botswana. Consult your
physician 2-3 weeks prior to departure.
*The internal flight is not included in the land cost of your tour. This flight needs to be
arranged and purchased separately if you arrange your own air. Internal flights are
included with the air portion of your extension if you purchase air through us.
*A valid visa is required for Zimbabwe at an approximate cost of $45 USD for US
citizens. Rates are approximate and can be changed at any time based on governing
authority.
NOTES:
For more information on extensions and options for this
tour visit https://gateway.gocollette.com/link/613680
Air Upgrades
Every Collette tour is the trip of a lifetime, so why not treat yourself to something
special by upgrading your air? Collette has great partnerships with the leaders in
the airline industry. Start your tour in style. Call today.
Rewards
Join Travel Loyalty by Collette (TLC) through a simple online process after booking
a trip. Once you depart, receive a $150 credit per person towards your next trip! It’s
our way of rewarding our loyal travelers.† Learn more at
www.gocollette.com/guided-travel#loyalty_program
You Are Protected
Travel the world, worry-free with Collette’s Travel Protection Plan. If you need to
cancel for any reason right up until the day prior to departure, you’ll get a full refund
(less the cost of the plan). Plus, you are covered on tour. If you have to stop your
trip or return home early, need medical assistance or evacuation, suffer a baggage
loss or delay, or are delayed on tour for 12 hours or more, you're covered. It’s the
kind of peace of mind you cannot put a price tag on. Learn more at
www.gocollette.com/guided-travel#no_worries_waiver
The Collette Gateway
After you make your reservation, we will email you an invitation to the Collette
Gateway. This online hub allows you to track your travel experience. On your
personal profile page, tell us where you’ve been; enjoy a countdown to your tour,
see information about the destinations you’ll visit, connect with fellow travelers,
check out popular travel tips and sign up for Travel Loyalty by Collette (TLC). The
Gateway makes your travel experience easy and fun. Learn more at
gateway.gocollette.com
Go Further with World Connect
Collette and your travel professional can offer even more incredible experiences
with World Connect. Ask your travel professional for one of their World Connect
business cards. When you call to make a reservation use the special code on the
card and save $50 across all seven continents.
† Full credit is valid for travel within 12 months of the original trip. $100 of the credit
remains valid for travel within 13-24 months and the entire credit expires after 24 months.
FUMC Trippers
2221 Pembrooke
Denton, Texas, 76205
For more information contact
James Hook
FUMC Trippers
940-383-4678
[email protected]
162 Middle Street
Pawtucket, RI • 02860
Phone: 1-800-752-2655 Fax: 1-401-727-9014
If paying by credit card, please complete this form and return to FUMC Trippers. We can only charge
your credit card for the amount noted if the signature, address and phone number are listed below.
Thank you!
CREDIT CARD AUTHORIZATION FORM
BOOKING NUMBER: 613680
TOUR: Spectacular South Africa Culture & Nature in
Harmony
GROUP NAME: FUMC Trippers
DEPARTURE DATE: February 17, 2015
Name of Passenger:
Salutation:______ First Name:__________________ Middle Initial:____ Last Name:_________________ Suffix:____
(Mr., Mrs., Rev.)
(Please print as it appears on Passport)
(Jr., Sr.)
Cardholder Name: _________________________________________________________________
(Please print as it appears on your Credit Card)
Cardholder Address: _______________________________________________________________
(as it appears on your credit card statement)
_________________________________________________________________________________
Cardholder Phone: _________________________________________________________________
Credit Card Type:
___American Express
___Discover
___MasterCard
___Visa
Credit Card Number: _______________________________________________________________
Expiration Date: ___________________________ Amount to be charged: $ ___________________
Cardholder’s Signature: ____________________________________ Date: ___________________
I agree to pay according to the card issuer agreement. I understand and accept Collette cancellation
policy, terms and conditions.
Participating credit card companies are now requiring a billing address and phone number for
FRAUD PREVENTION. All information MUST be provided. Thank you for your cooperation!
If using your credit card for payment, please return this Authorization Form by mail to:
FUMC Trippers
Attn: James Hook
2221 Pembrooke
Denton, TX 76205
Or by Fax to: (940) 383-4678
 Above credit card information has been called in to Collette.
162 Middle Street
Pawtucket, RI • 02860
Phone: 1-800-752-2655 Fax: 1-401-727-9014
BOOKING NUMBER: 613680
DEPARTURE DATE: February 17, 2015
TOUR: Spectacular South Africa Culture & Nature in
Harmony
GROUP NAME: FUMC Trippers
Available Options
Personalize your tour by adding an optional activity below. Our recommended options have been carefully chosen to help enhance your
individual experience. Complete the provided Prepaid Options Form to reserve your options.
Availability is limited and reservations are on a first come, first serve basis. Payment must be received no later than 15 days prior to
departure. Prices are subject to change.
Children under the age of 18 MUST be accompanied by an adult.
Knysna
Savor the Flavors of South Africa
$65
USD
This evening, enjoy a taste of the Garden Route. Relax on the dock of the famous Knysna lagoon. Learn about the
local oyster fishing industry as you explore the art of shucking oysters and sip a glass of sparkling wine as you do it.
Later, board a paddle boat for an incredible cruise along the lagoon. Be sure to take a moment to soak in the natural
beauty that surrounds you. Once onboard, enjoy a chef-led cooking demonstration. Discover local delicacies as your
culinary guide showcases five award- winning recipes. And of course, savor every bite of a three-course dinner that
comes complete with a glass of wine. Note: non seafood / shellfish options are available. Duration: Approximately
2.5 hours. Please note a minimum of 10 passengers is required. Transportation is included.
Spectacular South Africa Culture & Nature in
Harmony
RES#: 613680
TRAVEL DATE: 2/17/2015 TERRITORY: T2
For Reservations Contact: James Hook 940-383-4678 email: [email protected]
FUMC Trippers, 2221 Pembrooke, Denton, TX 76205
Deposit of $250 per person due upon reservation. Reservations are made on a first come, first served basis. Reservations made after the seat reduction date of
9/11/2014 are based upon availability. Final payment due by 12/17/2014. Please note: deposits are fully refundable up until 9/18/2014, after that date certain
charges apply.
YOUR INFORMATION:
Clearly print your full name (first/middle/last) as it appears on your government issued travel documentation.
First:
Middle:
Last:
Nickname:
Gender: ( ) Male
( ) Female Date of Birth: (month/day/year)
Address:
Phone: (
Suffix:
City:
)
Cell: (
Passport Number:
State:
)
Email Address:
Expiration Date: (month/day/year)
Date of Issuance: (month/day/year)
City, State, Country of Issuance:
Citizenship:
Emergency Contact:
ROOMING WITH:
Zip Code:
Phone: (
)
 Check if address is the same as Passenger #1
First:
Middle:
AIR GATEWAY: Departure airport for this tour:
Companion
Last:
Suffix:
Air Seat Request: ( ) Aisle ( ) Window ( ) Next To Traveling
Collette cannot guarantee your seat preference. If you have not purchased air through Collette and wish to purchase transfers, you must transfer at our pre-scheduled times.
AIR UPGRADE: I am interested in purchasing an air upgrade to: Premium Economy  Business Class  First Class 
Service is limited and not available on all flights or carriers. Other restrictions may apply.
Are you willing to separate from the group air schedule to accommodate your upgrade request? ( ) Yes ( ) No
TRAVEL PROTECTION: ( ) Yes, I wish to purchase travel protection $300 ( ) No, I decline
If you choose not to purchase Collette's Waiver Insurance Plan, you will incur penalties for changes and cancellations. Travel Protection Payment is due with first deposit. The Waiver
Fee does not cover any single supplement charges which arise from an individual’s traveling companion electing to cancel for any reason prior to departure. The single supplement
will be deducted from the refund of the person who cancels. (There is coverage under Part B which includes a single supplement benefit of $1,000 for certain covered reasons.
See Part B for details.)
EXTENSION: I wish to purchase "3-Night Victoria Falls" ( ) Yes ( ) No
PLEASE MAKE CHECKS PAYABLE TO: Collette ( ) Check ( ) Credit Card
Waiver/Insurance Amount: $___________________ Deposit Amount: $___________________ Total amount enclosed: $___________________
Cardholder Name (if paying by Credit Card):
Cardholder Billing Address:  Check if address is the same as above
Cardholder Phone:
Credit Card Number:
Amount: $
________________
Expiration Date:
SIGNATURE REQUIRED for acceptance of the below conditions and agreement to credit card use:
Date:
____
M
M
Y
Y
I agree to pay according to the card issuer agreement. I understand and accept the cancellation policy, terms and conditions. See http://www.gocollette.com/aboutcollette/terms-and-conditions for full terms and conditions of your purchase.
Important Conditions: Your price is subject to increase prior to the time you make full payment. Your price is not subject to increase after you make full payment, except for
charges resulting from increases in government-imposed taxes or fees.
162 Middle Street
Pawtucket RI 02860
Phone: 1-800-752-2655, Fax: 1-401-727-9014
TOUR: Spectacular South Africa Culture & Nature in Harmony
GROUP NAME: FUMC Trippers
DEPARTURE DATE: Feb 17, 2015
BOOKING NUMBER: 613680
AVAILABLE PREPAID OPTIONS
Personalize your tour by adding an optional activity below. Our recommended options have been carefully chosen to help enhance your
individual experience. Complete the provided Prepaid Options Form to reserve your options.
Availability is limited and reservations are on a first come, first served basis. Payment must be received no later than 15 days prior to departure.
Prices are subject to change. Children under the age of 18 MUST be accompanied by an adult.
PASSENGERS NAME: (Please submit a separate form for each passenger)
Salutation:____ First:___________________ Middle:_________________ Last:______________________ Suffix:____ Nickname:_____________
(Mr., Mrs., Rev.)
( Please print EXACTLY as it appears on Passport)

Option
Savor the Flavors of South Africa
Please make checks payable to
Collette and send to:
FUMC Trippers
Attn: James Hook
2221 Pembrooke
Denton, TX 76205
Fax: (940) 383-4678
(Jr., Sr.)
Price Per Person
(USD)
65.00