Online Form

The fields marked * are required

Personal Information


Travel History

Medical Information

Emergency Contact


Deposit Payment

The deposit amount is non-refundable plus applicable cancellation charges. (The remaining balance must be paid at least one calendar month before the departure date).


Click to Read & Download (PDF) Our Terms and Conditions

By submitting this form, I confirm that the information given in it is true to the best of my knowledge. I have read, understood and agree to abide by the Lasani Green Travel Booking Terms & Conditions. By paying the deposit/full amount, I enter a binding agreement with Lasani Green Travel based on those Booking Terms & Conditions. I accept that the full payment must be paid to Lasani Green Travel at least one calendar month before the due date of departure. I also accept that cancellation fees may apply and that the full amount is still payable if a cancellation is made with less than one calendar month remaining before the departure date. (Full details of charges and fees are included in the terms & conditions)