Request Information Name * Email Address * Address City State Zip Code Country Phone Number * Fax Number Are you a travel agent? Yes No How do you prefer we contact you? * Email Phone Fax How did you hear about us? * Advertisement Travel Agent Internet Referral Another Website What month do you wish to travel? * January February March April May June July August September October November December Length of trip? * 1 Week 2 Weeks 3 Weeks 4 Weeks 5 Weeks 6 Weeks Over 6 Weeks How many in your party? * 1 2 3 4 5 6 or more Which countries do you wish to visit? Tanzania Kenya Botswana Zimbabwe South Africa Namibia Zambia Malawi Madagascar Seychelles Mauritius Other Interests Game Viewing Bird Watching Flora Archeology Different Cultures Ballooning Photography History Walking White Water Rafting Canoeing Golf Luxury Journeys Other Check all that apply Personal Luxury Level Super Luxury (Relais & Chateaux) Luxury (5 Star) Luxury (4 Star) Full Service Overland Camping Do you need airline reservations? * Yes No Approximate budget per person for the safari, excluding international airfare? $3,000 - $4,000 $4,000 - $5,000 $5,000 - $6,000 $6,000 - $7,000 $7,000 - $8,000 $8,000+ International roundtrip airfares from the USA to Africa range from $US 1,000 - 1,500 - excluding taxes - depending on time of year and city of departure. Other requirements. Please specify.