Information Request - Special Interest Safaris

Information Request Form
(Special Interest Safaris)

(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
Specialized 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 Specialized safari that you are interested in?:
(If not sure, click on link to double check your choice - will open in a new window).

The hauntingly beautiful "Skeleton Coast" of Namibia (6- & 7 day short-break
ecotourism)

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

Ultimate Africa (A 14-day luxury adventure safari including a Botswana excursion)

          Namib Skeleton Wilderness (A 14-day, luxury spin-off from our Body & Soul safaris)

          10-day Cupid's African Dream (Desert Honeymoon) Water world Both
                                                   (Please indicate which Honeymoon option)

        10-day Sir Cupid (Luxury Honeymoon)

Active Africa (Standard 14-day) (Extended 21-day) (Last 10-days)
(Please indicate which duration option)

Artist's Hideaway - 8-day seclusion at one of two chosen venues - each one an exotic
location.

Young at Heart (Senior's luxury safaris)

Romantic Interlude (11-day break-away)

Epupa Wilderness (Luxury, with fly-in)

A Dozen Dazzlers (14-day luxury safari)

Namibia's Cultural Diversity (Cultural experience)

Namibian Memories (14-day human- & natural history safari)

Own

         None of the above, my own customized Special safari. Please give details in the
                   Special Requests/Comments field at the bottom of this form. (Maybe you are
                   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