Information
Request Form
(Specialized Sample
Itineraries)
(NOT
A BOOKING FORM - SIMPLY AN ENQUIRY, FROM YOU TO US)
The following information
will first tell us that you are interested in one or more of our
Body and Soul Safaris, and then supply us with the
information that we need to respond
accordingly. Please complete as fully as possible, thus HELPING US TO HELP YOU!
None of the above,
my own customized Body & soul safari. Please
give details in the Special Requests/Comments
field at the bottom of this form.
(Maybe
you're interested
in more
than one safari, or wish to combine elements from different safaris to
compile
your own.
Please indicate titles of such safaris in the COMMENTS field).
Group Composition:
Male
Group Composition: Female
Number
Number
Average age of
group:
What are your
time of year-, or approximate date preferences?
Please tell us where or how we can contact you:
First
& Last Name:
Title/Salutation:
Military/other
Rank:
Country/Nation./Lang.:
E-mail:
Fax:
Telephone:
Today's Date:
SPECIAL
REQUESTS OR COMMENTS
ALL INFORMATION
WILL BE TREATED AS CONFIDENTIAL,
PLEASE CLICK ONLY ONCE ON THE 'SUBMIT FORM' BUTTON.
(Click the back-button on your browser to return to our
web site)
Should you experience
any difficulty with our Information Request Form (servers are not
always on
duty 24 hours a day), then contact us directly via
. UK
residents, please remember,
you
can also contact us by telephone - at local rates - by dialling:
UK number: 07040108254 Destination number:
0026461229322