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Personal
Information |
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Company Name |
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Street Address |
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Name |
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City |
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Email |
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Post/Zip Code |
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Tel Number |
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Country |
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Fax Number |
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Stay
Information |
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Number of
Adults |
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Countries
to visit |
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Children
(under 12) |
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Days
in Tanzania |
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Arrival Date |
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Days
in Kenya |
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Departure date |
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Point
of Entry |
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Holiday type? |
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Point
of Departure |
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Other
Countries to be visited during this trip: |
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Any
regional flights required? (please specify) |
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Are
you interested in climbing Mt Kilimanjaro? |
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Your
Safari: |
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Number of
days? |
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Accommodation
preference |
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Safari
Regions you are interested in: |
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Northern
Circuit (Tarangire, Serengeti, Ngorongoro Crater, Lake Manyara)
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Central
and Coastal (Pangani, Saadani)
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Southern
(Mikumi, Selous, Rufiji, Ruaha)
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Western
(Gombe, Mahale, Katavi)
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Your
Beach Holiday: |
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Number of
days? |
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Accommodation
preference |
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Meal Plan |
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Which Island(s)? |
Zanzibar
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Mafia
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Pemba
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Are
you interested in scuba diving/snorkelling? |
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Are
you interested in fishing? |
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Are
you interested in tours and excursions? |
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Additional
Information (please give us as much detail as possible, so that we can
tailor your dream holiday.) |
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Special
Goals |
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Special
Needs |
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Any
other additional information |
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Finally,
please tell us how you heard about us: |
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Please
Specify |
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