Print Form Before Submission

To reserve your spot on the Ghana Ag Tour, please complete and submit the form together with your booking deposit. You may also contact 7Continents Consulting to obtain hard copy of this form by phone: +1 (306) 491-5696 or email: info@7continentsconsulting.com.

REGISTRATION FORM

Ghana Ag Tour of the Gold Coast

Surname*

First name*

Preferred Name

Position*

Organization

Date of Birth*

Gender*

Email*

Telephone*

Address

Province*

Zip Code

Which Ag Tour date are you available for?*

November 11-26, 2023 March 9-24, 2024 November 9-24, 2024 Haven't decided yet

Have you travelled to West Africa before?

Yes No Prefer Not to Say

Do you have a valid passport for travel to Ghana?*

Yes No Not Sure

Room Preference*

Is your spouse or partner taking part in the Ghana Ag Tour?*

Yes No Not Sure Yet

Full Name of Spouse/Partner (If Applicable)

Do you wish to share a room (2 Twin Beds) to reduce your costs?

Yes No Not Sure

Dietary/ Medical Restrictions*

Emergency Contact: Full Name

Emergency Contact: Phone Number

Emergency Contact: E-mail Address

Do you require help with travel insurance?

Additional Information

I have read the booking conditions of the Ghana Ag Tour:

E-Signature: Full Name *

Date*