| First
Name |
|
| Surname |
|
| Number
of people in your party |
Adults |
|
| Children |
|
| Arrival
date |
 |
| Departure
date |
|
| Accommodation
type required |
Single
(Male/Female)
|
|
| Double
|
|
| Twin |
|
| Family |
|
|
Additional activities.
Please advise how many people in total for each chosen activity
|
Game Drive |
|
Game walk |
|
| Sleep out |
|
Pel's walk |
|
| Kruger trip |
|
Taita trip |
|
| If you would prefer to book a package
trip, please choose one of the 3 options and state how many adults
will be staying |
Package 1
|
|
| Package 2
|
|
| Package 3
|
|
| Residential
Address |
|
| Postal
Address |
|
| Tel |
|
| Mobile |
|
| Fax |
|
| E-mail
|
|
|
How will
you be arriving here?
|
|
|
Is
there any further information you may wish to include
|
|
|
|
|
|
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page
|
