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SAFARIS:
Uganda
|
Kenya
|
Tanzania
|
Rwanda
*Denotes required field
First Name*
Last Name*
Email*
Country of Origin
Telephone
Mobile
Fax
Arrival Date*
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31
Jan
Feb
Mar
Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
2006
2007
2008
Daparture Date
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30
31
Jan
Feb
Mar
Apr
May
June
July
Aug
Sep
Oct
Nov
Dec
2006
2007
2008
Number of Adults
1
2
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5
6
7
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10
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12
Num. of Children
(8 and below)
1
2
3
4
5
6
7
8
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10
11
12
Number of infants
1
2
3
4
5
6
7
8
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10
11
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Destination*
Uganda
Kenya
Tanzania
Rwanda
Combination
Other (Specify)
Major Areas of Interest
Wildlife
Primate Safaris
Cultural Tours
Urban Tours
Birding Safaris
Mountaineering
Gorilla Tracking
White Water Rafting
Countryside Tours
Other (Please specify)
For pick-ups, the following information is required
Mode of Transport
Private Land Cruiser
Other
Transport Request*
YES, Please
NO, Thank You
Pick-up Location
Pick-up Time
Mode of transport
Air
Bus
Other-Specify
Flight/Bus Number
Special Instructions/Requests
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