WV Golden Circle Admin Entry - Winning Travel

VW Safari Plains Re-Entry

VW Admin Entry for Golden Circle Safari Plains

Step 1 of 12

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Select your activity at Safari Plains*
- Horseback safari – half day experience
- Quad biking – half day experience
- Massage treatment – 60 min massage of your choice
- None – I would prefer to be at leisure
Are you travelling with a partner?*
- Yes
- No

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Company / Dealership*
Job title
Office address*
Street Address City ZIP / Postal Code Country

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Title*
- Mr
- Mrs
- Ms
- Dr
- Prof
Your full name as per ID*
First Last
Preferred name*
Gender*
- Male
- Female
Date of birth*
Email address*
WhatsApp number matches cellphone number?
- Yes
WhatsApp contact number*
Mobile contact number*
Office contact number
Physical home address
Street Address City ZIP / Postal Code Country

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ID Number*
Country of residence*
Country
Identity Document upload*
Max. file size: 5 MB.

Please upload a copy of your ID Document
Note your ticket will be issued as per the ID/passport copy submitted

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Seating preference (not guaranteed)*
- Aisle
- Middle
- Window
Nearest airport*
Specify nearest airport*
On ground dietary preferences*
- None
- Diabetic
- Gluten Free
- Halaal
- Hindu
- Kosher
- Vegan
- Vegetarian
- Other - Specify
Specify on ground dietary preferences*

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Do you have allergies?*
- Yes
- No
List your allergies*
Medical aid provider
Medical aid number
Doctor's name
Doctor's emergency contact number*
Emergency contact person (next of kin)*
First Last
Emergency contact number (next of kin)*

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Travel partner's full name as per ID*
First Last
Travel partner's preferred name*
Travel partner's gender*
- Male
- Female
Travel partner's date of birth*
Travel partner's email address
Travel partner's WhatsApp number*
Travel partner's alternative contact number
Travel partner's physical address*
Same as trip winner's home address

Street Address City State / Province / Region ZIP / Postal Code Country

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Travel partner's ID number*
Please upload a copy of your partner’s ID document*
Max. file size: 5 MB.

Please upload a copy of your ID Document in place of your Passport Document
Note your ticket will be issued as per the ID/passport copy submitted

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Travel partner's nearest airport*
Specify travel partner's nearest airport*
Travel partner's seating preference (not guaranteed)*
- Aisle
- Middle
- Window
Travel partner's on ground dietary preferences*
- None
- Diabetic
- Gluten Free
- Halaal
- Hindu
- Kosher
- Vegan
- Vegetarian
- Other - Specify
Specify partner's on ground dietary preferences*

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Does travel partner have allergies*
- Yes
- No
List travel partner's allergies*
Copy primary traveler's medical aid and doctor
- Select To Copy Medical Data From Primary Traveler
Travel partner's medical aid provider
Travel partner's medical aid number
Travel partner's doctors name
Travel partner doctor's emergency contact number
Travel partner's emergency contact person (next of kin)*
First Last
Travel partner's emergency contact number (next of kin)*

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For those who wish to extend their trip, please note that due to the nature of domestic bookings this will only possible once you receive your emailed documents. You may then log onto the airline site and “Manage your booking” making your changes directly
Do you have any special requests?*
- Yes
- No
Detail your special requests*
Acceptance of T's & C's*
I have read and agree to the trip T's & C's outlined below.

As part of your trip and participation in the event, we need to collect certain personal information from you. The personal information you provide will be used by VW, its affiliates, and their service providers to facilitate your trip and participation in an event.

Travel will be subject to Covid-19 restrictions

I Confirm That I Have Read And Agree To The Above Privacy Statement (Tick Box To Confirm)
I accept the above privacy statement.
*Please check to make sure all information is correct prior to submission.

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Please review your entries
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