Enquiry-Booking Form

First Name:*

Last Name:*

Email:*

Subject:*

Message:*

Mobile Number:*

Phone Number:

Address:

City, Postcode, State:

Country:

Number of Travellers & Ages:

Have you been to Africa before?:

Full Names on Current Passport:*

(Name on current Passport or Passport Application and airline ticket/s must be identical)

Travel Destination:

What is your Travel goal or inquiry?:

Type of Safari | Tour | Exploration | Course etc:

Accommodation Style, Premier, Classic, Adventure Lodge/Camp, Camping:

What time of year would you want to travel?:

Duration of Travel:

What are you prepared to spend?:

Any Children & their ages:

Child special needs?:

Specials interest ie. wildlife, birds, landscapes, deserts, culture etc?:

Are you interested in a tailor-made safari or a prearranged itinerary?:

Would you consider upgrading for a better or unique experience?:

Would you like to avoid anything eg, non-authentic lodges, etc?:

Do you have any special medical needs?:

Do you require wheelchair assistance (airport, safaris)?:

Do you have any special needs, diet etc?:

Type Todays Date:*

I have read and accepted the Terms & Conditions

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