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Request information on African Safari Trips

Title:

First Name:

Last Name:

Company:

Address 1:

Address 2:

City:

State:

Zip:

Country:

Home Phone:

Work Phone:

Fax:

Email:

Age:

How did you hear about our website?

Search Engine
Magazine Article

Newspaper Article
Friend

Other

If other, please be specific:

Where are you interested in traveling?


Southern Africa Botswana Namibia South Africa Zambia Zimbabwe	East & Central Africa Kenya Tanzania Uganda Malawi	Indian Ocean Islands Mauritius Mozambique Islands The Seychelles Zanzibar Madagascar

Not sure, I'd appreciate your suggestions

Number of travelers:

Some of the travelers will be children

When do you plan to travel?

Not sure, what's the best time to travel?

How long do you want to travel?

What type of trip is this?

Vacation
Honeymoon

Add on to business trip
Visiting friends and family

Other

If other, please specify:

How do you like to travel?


	I'd like to travel with a small group on an escorted tour
	I have some ideas on what I want to do and prefer the flexibility to combine destinations and/or incorporate my special interests
	I'd like to learn more about my options and to discuss my preferences

What is your preferred travel style?

What is your per person budget (not including international airfare)?

Air Travel - Would you like assistance with your flight arrangements?

Departure city:

Please feel free to share any comments or ask any questions:

Need assistance? Call 1 (800) 700-3677,
between 8.00 am - 6.00 pm EST, Monday -Friday.