| If you would like us to provide you with a tailor-made proposal, please inform us of your holiday preferences and email the form back to us. The more
we know about your requirements, the better we will be able to draw up the ideal holiday for you. We look forward to hearing from you. |
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Title : |
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First name : |
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Last name : |
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Email Address : |
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Postal or Zip Code : |
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Country : |
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Tel No : |
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Fax No : |
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| Expected dates or month of travel? |
please be as accurate as possible if this is at short notice |
| What length of trip would you like? |
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| Number of adults in party? |
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| Number of children age 2-11? |
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| Number of children under 2 |
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| What is your budget range per person? Please supply a currency. |
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| Is this inclusive or exclusive of the international and internal flights? (UK only) |
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| What appeals to you about holidaying in Southern or Eastern Africa? |
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| What areas do you want to visit? |
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| What one place, activity or natural feature will you be disappointed if you do not encounter or experience? |
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| What will be the most important criteria in judging the success of your trip to Africa? |
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| Where did you spend your favourite holiday to date? |
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| What made the holiay so successful? |
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| Please specify what accommodation comfort level you would prefer? |
Luxury
Premier
Standard
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Mixed
Not Fussed + |
| Please select the holiay accommodation you prefer? |
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Exclusive bush lodges and tented safari camps
Luxury retreats |
| Please tick the phrase that is closest to the holiday transport you want: |
| - Take a rental car |
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| - Mix of rental car and road transfers? |
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| - Light aircraft fly-in safari? |
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| - Take a private driver/guide? |
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| If you are asking for a self-drive or tailor-made tour, please tick the pace that most suits you: |
1-2 nights in each place
3-4 nights in each place
a mix of the above
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| What importance do you put on game-viewing? |
very important
important
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somewhat important
not important |
| Any additional information or special needs you would like us to bear in mind? |
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| How did you first hear about us or get our web site address? |
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| Please select the applicable age bracket? |
Under 25-34
35 to 44
45 to 54
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55 to 69
70+ |
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