| 1. Personal information: |
| Name: |
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| Address: |
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| Address: |
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| City: |
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| Post code: |
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| Country: |
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| E-mail address: |
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| Daytime telephone no: |
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| Fax no: |
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| II. Number in party: |
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| Number of children aged under 12 included in group |
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| III. Proposed duration of trip: (number of
days) |
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IV. Dates of travel if known
(or approximate month(s) and
year of travel): |
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| VI. What do you want your trip to include? (select one or
more choices) |
| 1. Safari in Kenya |
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| 2. Safari in Kenya and Tanzania combined |
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| 3. Kenya safari + Mombasa beach extension |
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| 4. Kenya safari + Zanzibar beach extension |
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5. Combined Kenya/ Tanzania safari
+ Zanzibar and/ or Mombasa
extension |
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VII. What style of safari would you prefer? (select one or
more styles) |
| 1. "Seat in vehicle"- small group safari (maximum seven
clients) |
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| 2. Custom safari with exclusive vehicle and accommodation in
lodges |
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| 3. Custom safari with exclusive vehicle staying in tented
camps |
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| 4. custom safari with exclusive vehicle staying
in a combination
of lodges and tented camps |
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Any further preferences, requirements
or other relevant
information |
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