Rothschild Safaris

VIP Air Request Form

In Partnership with Rothschild Safaris

Welcome to Cadence! Kindly tell us a bit about your upcoming air needs.

Full Name - Please list exactly as it is seen on your passport

Title

INTERNATIONAL FLIGHTS

Departure Date (Leaving Home)

MM

DD

YYYY

From: (Departure City/Airport)

To: (Arrival City / Airport)

Additional information regarding this flight:

Departure Date (Returning Home)

MM

DD

YYYY

From: (Departure City/Airport)

To: (Arrival City / Airport)

Additional information regarding this flight:

Class Preference

(select one)

Coach Class

Business Class

First Class

ADDITIONAL FLIGHTS

Additional Flights: (If you need assistance with any flights within Africa, please list those details here.)

TRAVELER INFORMATION

Number of Travelers

Preferred Carrier(s)

Frequent Flyer or Mileage Number(s)

Would you like to use Frequent Flyer mileage to book this trip?

Yes

No

Email Address

Cell Phone Number

Contact Preference

Email

Phone

No preference