Baz Bus Booking Form

Baz Bus ticket booking form

Baz Bus Hotline If you do not want to submit your booking form via e-mail then please print the page out and fax it (or a reasonable copy) to Mosselbay Packpacker on 044 691 3182 ( within South Africa) or +27 44 691 3182 (International).
Name
Surname
E-mail
Contact address
Telephone number & country code:
Fax number & country code:
Residential Country
Travelling partner`s name and surname
Passport Number
Nationality
E-mail
Selected Route One way or Return
Departure From
If other selected from Departure - specify here
Departure from Hostel ( to see hostel details click here..)
First Hop off at
End Destination
If other selected from End Destination - specify here -
Requested departure date
Tour Booking
Amount of tickets you would like to purchase
Where did you hear about the Baz Bus.
Payment:
Card type Visa Mastercard
Credit Card Number
Last 3 digits / CCV on the back of card
Expiry date
Cardholder Name
Passport Number of card holder
Nationality of card holder
Amount
	Yes, I have read the Terms and Conditions page For terms and conditions page ... click here