Contact Person (First and Last)

List of Names in Family/Party - One per line
(please include ages to help with planning of accommodation)

Your email

Your phone number
(please include full country code for international dialling. e.g. +26097900000 or +12125551234)

Would you like to be added to the Whatsapp group? ( If not already added)
(Number provided above will be used.)
NoYesAlready Added

Place Of Residence, Country and/or Town

Contribution Method
—Please choose an option—CAN - MSCCAN - InteracZambia - Bank DepositUSD - CMMLGBP - Echoes

Accommodation

We are planning to stay:
—Please choose an option—Onsite at SakejiOffsite - Making own arrangements

Travel Plans

Estimated Arrival Date in Zambia

Arrival Date at Sakeji

Departure Date from Sakeji

How will you be travelling up to Sakeji?
—Please choose an option—Personal VehicleAirChartered BusOther

Do you require parking? If yes how many vehicles?

Other travel plans please describe:

Do you want more information or help with travel?
YesNo

Comments/Questions (optional)

I understand that Sakeji is collecting this information for the purpose of planning for the 100 year anniversary celebrations. We will only use this information for anniversary related planning.
Check here to accept.

This form uses Akismet to reduce spam. Learn how your data is processed.

Δ