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!


               
            Name of Body & Soul safari that you are interested in?: 
            (If not sure, click on name to double check your choice - will open in a new window).

              Namib Desert Safari - 14-days in pre-history, an inspirational & stress-relieving
                                                      safari!

              Artist's Escape - 21-days inspirational Nature safari (With culture & ancient history)

              Artist's Hideaway - 8-days in total seclusion - inspirational (African bush or desert
                                                 options)

              Romantic Interlude (11-day break-away, designed as a strained relationship reliever)

Own

              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

Designed by Shandy Consultancy - Copyright © 1999 tot 2010.
Date last updated:    Wednesday, January 20, 2010 10:58