CONTACT INFORMATION: * = Required
*Your E-mail (we cannot respond without this) *Your Name

Address
City
State/Province ZIP/Postal Code
Country

WHAT COUNTRIES ARE YOU INTERESTED IN VISITING?

Botswana	Kenya	Namibia	Rwanda	South Africa
Tanzania	Uganda	Zambia	Zimbabwe

Other

Unsure at this time

WHAT TYPE OF SAFARI WOULD YOU PREFER?
Private Safari (Your own guide and 4x4 throughout - Kenya & Tanzania only)
Small Group Safari (set departure dates with group sizes ranging from 7 to 10)
Flying Safari (Fly from camp/lodge to camp/lodge - activities are led by resident guides)
Unsure at this time   Other

WHAT TYPE OF ACCOMMODATIONS WOULD YOU PREFER?
Small Luxury Lodges and Luxury Safari Camps (4 to 5+ stars)
Comfortable Lodges and Safari Camps (3+ to 4 stars)
Luxury Mobile Camping (4 to 5 stars)
Comfortable Mobile Camping (3 stars)

SPECIAL ACTIVITIES AND INTERESTS?

Game Drives	Guided Wildlife Walks	Night Game Drives
Cultural Encounters	Bird Watching	Hiking/Climbing
Gorilla Trekking	Chimpanzee Safaris	Mokoro Ride
Canoeing	Elephant Back Safari	Camel Ride
Horseback Riding	Luxury Trains	Golf
Beach/Coastal Visit	Other

When would you like to travel?
Number of persons traveling in your group?
How long would you like to be on Safari?

Would you like a Safari Specialist to call you?
Yes, please call me No thanks, just email me for now.
  Daytime telephone   Evening telephone

Other comments or questions to help us advise you?