Ghana: The Gem of West Africa with Afrochella Experience 2020 Booking Form

Traveler Information
Please ensure the accuracy of your full name, date of birth and gender information. Failure to provide your correct full name, date of birth, and gender may result in denial of transport or denial of authority to enter the boarding area. For more on TSA privacy policies, or to review the system of records notice and the privacy impact assessment, please see the TSA Web site at www.tsa.gov. *Spelling of names, including middle name must exactly match U.S. Passport.
First Name*
First
Middle Name*
Middle
Last Name*
Last
Date of Birth*
Month
Day
Year
Gender*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*

Additional Information
Number of Guests (In Your Hotel Room)*
For this experience, all accommodations are based on double occupancy. If you would like single occupancy, additional charges will apply. For single occupancy, please contact us directly before submitting deposit.
Name of Roommate*
First Last
Roommates must submit their deposit on the same day.
Select your departure city/airport code*
Airfare information will be provided.
Do you currently have a valid U.S. Passport?*
Passport Information
A valid U.S. passport is required to travel to Ghana and it must be valid for a minimum of six months after date of arrival to Ghana.
Please provide the date you plan to apply for your U.S. Passport*
MM slash DD slash YYYY
Passport Information
Passport Number*
Passport Expiration Date*
Month
Day
Year
Passport Issuing Country*
Passport Issuing Date*
Month
Day
Year

Traveler Information