Request Brochures × Advisor Educational Program Webinar Series DISCOVER SOUTH AFRICA EDUCATIONAL APPLICATION FORM Thank you for your interest in this exclusive educational to South Africa. To apply, please complete the details below. Passport first name * Please ensure Passport information matches passport document Passport middle name Passport last name * Date of birth * Year Year192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Years as a travel advisor * Are you a full-time travel advisor? * - Select -YesNo Have you accepted an African Travel educational safari before? * SelectYesNo If Yes, list which educational safari you have traveled on and travel date. * Please identify your role? * SelectIndependent ContractorFull-Time Employee of an AgencyPart-Time Employee of an AgencyAgency ManagerAgency Owner Top 3 selling destinations to date? * What are your estimated total annual gross sales? * Have you booked with African Travel, Inc.? SelectYesNo If NOT, who have you used in the past for African safaris? * What is the most effective thing you do to generate or close sales with clients? * What is your most effective way to generate leads? * Lastly, what do you most hope to gain if selected to participate on African Travel's educational?? * Agency name * Agency address * City * State/Province * Zip/Postal Code * Country * - Select -AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Best daytime telephone number (Including area code) * Mobile number (Including area code) * Email address * IATAN/CLIA number * (Advisors must have a valid number and the agency is approved by IATAN/CLIA to qualify for this safari) Does your agency require managers approval? Yes No If YES, please fill out the below contact information Name Email Telephone number If selected, would you like to have your itinerary & documents mailed to the agency? Yes No If no, please provide alternative address PLEASE READ THE IMPORTANT INFORMATION BELOW. ONCE COMPLETE, PLEASE CHECK OFF BOX THAT YOU HAVE READ AND UNDERSTAND ALL OF THE POINTS. To qualify for an educational trip, travel agents must have completed African Travel University. For more information, please click here. Passport must be valid at least six months beyond the safari. South Africa requires that a passport must have 2 consecutive completely blank visa pages for entry/exit stamps. TRAVEL HEALTH INFORMATION: For preventative measures please consult your personal physician or local health department at least 8 weeks prior to travel. Any other additional medical recommendations should be provided by your doctor. IMPORTANT INFORMATION: e-Documents will be provided prior to departure. Once you are confirmed, payment is due to confirm your reservation. Payment is non-refundable. Travel protection coverage is required. Educational is for an advisor and one companion based on double occupancy. International airfares are available upon request. I have read and understand the important information provided. Yes
DISCOVER SOUTH AFRICA EDUCATIONAL APPLICATION FORM Thank you for your interest in this exclusive educational to South Africa. To apply, please complete the details below. Passport first name * Please ensure Passport information matches passport document Passport middle name Passport last name * Date of birth * Year Year192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Years as a travel advisor * Are you a full-time travel advisor? * - Select -YesNo Have you accepted an African Travel educational safari before? * SelectYesNo If Yes, list which educational safari you have traveled on and travel date. * Please identify your role? * SelectIndependent ContractorFull-Time Employee of an AgencyPart-Time Employee of an AgencyAgency ManagerAgency Owner Top 3 selling destinations to date? * What are your estimated total annual gross sales? * Have you booked with African Travel, Inc.? SelectYesNo If NOT, who have you used in the past for African safaris? * What is the most effective thing you do to generate or close sales with clients? * What is your most effective way to generate leads? * Lastly, what do you most hope to gain if selected to participate on African Travel's educational?? * Agency name * Agency address * City * State/Province * Zip/Postal Code * Country * - Select -AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe Best daytime telephone number (Including area code) * Mobile number (Including area code) * Email address * IATAN/CLIA number * (Advisors must have a valid number and the agency is approved by IATAN/CLIA to qualify for this safari) Does your agency require managers approval? Yes No If YES, please fill out the below contact information Name Email Telephone number If selected, would you like to have your itinerary & documents mailed to the agency? Yes No If no, please provide alternative address PLEASE READ THE IMPORTANT INFORMATION BELOW. ONCE COMPLETE, PLEASE CHECK OFF BOX THAT YOU HAVE READ AND UNDERSTAND ALL OF THE POINTS. To qualify for an educational trip, travel agents must have completed African Travel University. For more information, please click here. Passport must be valid at least six months beyond the safari. South Africa requires that a passport must have 2 consecutive completely blank visa pages for entry/exit stamps. TRAVEL HEALTH INFORMATION: For preventative measures please consult your personal physician or local health department at least 8 weeks prior to travel. Any other additional medical recommendations should be provided by your doctor. IMPORTANT INFORMATION: e-Documents will be provided prior to departure. Once you are confirmed, payment is due to confirm your reservation. Payment is non-refundable. Travel protection coverage is required. Educational is for an advisor and one companion based on double occupancy. International airfares are available upon request. I have read and understand the important information provided. Yes
