Sankofa Connections

Personal Information

* = required fields
* First Name		(as appears on passport)
* Last Name		(as appears on passport)
* Address1
Address2
* City
* State/Province
* Zip
* Country
* Home Phone	-	(include country / area code)
* Email
* Password		(min. 8char - max 12 char)
Business Name
Work Phone	-	(include country / area code)
Cell Phone	-
Fax Number
*	I have read and understand SCI Terms & Conditions

Travel Information


* Destination
* Type
* Depart Date	/ /	mm/dd/yyyy
* Return Date	/ /	mm/dd/yyyy

* Depart City		Get Airport Code
* Depart State		(outside U.S. enter province)
* Depart Country

* Include Air		Need Automobile?
* No. of Adults		if there are more than 9 travelers please e-mail us info@sankofaconnection.com
Children Under 12
Children Ages

Contact Me By	E-mail Phone
Contact Time	Time Zone

Billing Details

Click If Same As Personal Detail

* First Name

* Last Name

* Address

* City

* State

* Zip

Charge Credit Card

Charge Checking

* Deposit Amount

Min. Deposit $200 p.p. or $300 p.p. for Safari.
A $3.00 processing fee will be applied with all credit card payments.