1. Contact Information :
Your Full Name (required)
Select your Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaidjan
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Bahrain
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Barbados
Belarus
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Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
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Cameroon
Canada
Cape Verde
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Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
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Cook Islands
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Croatia
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Cyprus
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Dominican Republic
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Portugal
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Country (required)
Telephone (required)
Email Address (required)
2. Safari Information :
adults
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Number of participants (required)
children
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Number of Children (required)
Children Ages (separate by comma)
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January
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April
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August
September
October
November
December
2007
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2014
2015
to
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March
April
May
June
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September
October
November
December
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2011
2012
2013
2014
2015
Dates (required)
Safari Duration
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Yes
No
Will this be your first visit to Africa?
If you have been to Africa before which countries have you visited?
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Yes
No
Would you be interested in forming part of another group on your Safari?
3. Please select the Tanzania attractions that you would be interested in travel to?
Serengeti National Park
Ngorongoro Crater
Lake Manyara
Tarangire National Park
Arusha
Dar Es Salaam
Saadani National Park
Selous Game Reserve
Zanzibar
Lake Victoria
Katavi National Park
Mahale Mountain National Park
Kigoma
Karatu
Salei Plains
Mt. Kilimanjaro
Kisigo Game Reserve
Rungwa National Park
Kigosi Game Reserve
Pemba Island
Lake Eyasi
Ruaha National Park
Lake Rukwa
Lake Natron
Other destinations not mentioned above (separate by comma)?
4. What you are activities are you interested in?
Wildlife/Nature
Game Drives
Conservation
Horse Safaris
Cultural Experience
Birding
Walking Safaris
Canoeing
Photography
Weddings
Conferences
Shopping
City Tours
Hiking
Honeymoon
5. What type of Safari or Tour are you interested in?
Relaxed
Active
Very Active
Mixture
Undecided
6. What type of accommodation/ Lodging are you interested in?
Tented Camps
Hotels
Lodges
Mixture
Undecided
7. Additional Details
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Yes
No
Do you require our assistance for Airline Travel?
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Yes
No
Do you require travel insurance?
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Yes
No
Do you require assistance with Visa's for Tanzania?
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Yes
No
Do you have dietary/ medical requirements?
If YES for dietary/ medical requirements, what are they (strictly private)?
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$1000 - $2000
$2000 - $4000
$4000 +
Approximate Budget (Excl. International Airfare) per person (total duration)
Use the space provided below for any additional comments/questions.
Comments