YOUR NAME *

E-mail Address: *

COUNTRY OF ORIGIN *

TEL CONTACT NUMBER *

NO OF ADULTS *

NO OF CHILDREN U/12

I AM INTERESTED IN A TOUR TO :

SOUTH AFRICA KENYA TANZANIA ZANZIBAR MOZAMBIQUE

TYPE OF TRIP/SAFARI

HIGH LUXURY AVERAGE BUDGET PRIVATE GROUP ORGANISED GROUP TOUR

WHAT DO YOU WANT TO EXPERIENCE ON YOUR TRIP

WILDLIFE
CULTURAL VILLAGES
BIRDLIFE
HISTORICAL
LOCAL ARTS AND CRAFTS
REMOTE RAW WILDERNESS
NATIONAL GAME PARKS
PRIVATE GAME RESERVES
BEACHES

SELECT ACTIVITIES YOU ARE INTERESTED IN

HIKING
GUIDED WALKS
GAME DRIVES
HORSEBACK TRAILS
WHITE WATER RAFTING
HOT AIR BALLOONING
MICROLIGHT FLIGHTS
ELEPHANT BACK RIDES
SCUBA DIVING

PREFERRED ACCOMMODATION TYPE

B&Bs
GUEST HOUSE
HOTEL
TENTED SAFARI CAMPS
BUSH LODGE

ADDITIONAL COMMENTS

* Required