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 Baz Bus ticket booking form

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
Tour Booking
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
Amount of tickets you would like to purchase
Where did you hear about Baz Bus.
Book a mobile or Sim Card  
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

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  ADDRESS : 4 Hillview Road, East London, 5201, South Africa
Tel: 043 - 722 8509
Fax: 086 648 8880
Cathryn 072 610 8782
Email :
info@nikinana.co.za
 
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