Information Request Form, Safaris in Tanzania and Kenya

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Information Request Form

PLEASE COMPLETE THIS FORM FOR TENTATIVE BOOKINGS AND ADDITIONAL INFORMATION

Personal Information

Last Name:

Title:

Tel:

Fax:

E-Mail:

Country:

Safari Information

Adults:

Children:

{Under 12 years of age}

Is this:

A Tentative Booking

Request for Information

Proposed Start Date:

Proposed End Date:

Point of Arrival into E.Africa:

Point of Dept From E.Africa:

Please tick the excursions and tours that interest you:

Northern Circuit: lodge or luxury tented camp safari

Northern Circuit: camping safari

Southern Circuit: lodge or luxury tented camp safari

Western Circuit: Gombe/Mahale Mountains/Katavi

Pangani /Sadaani coastal game reserves

Mt. Kilimanjaro climbing

Zanzibar Island beach holiday + excursions

Mafia Island beach holiday + deep sea diving

Mombassa beach holiday

Pemba Channel fishing and deep sea diving

Dar-es-Salaam City Tour

Hotel accommodation - in Tanzania/Zanzibar/Kenya

Safaris in Kenyan National Parks

Chauffer driven car rental

Zanzibar to Dar boat/ferry

Domestic air travel within Tanzania

Private Safari

Guaranteed Departures/Share transport with a group

International air travel

Origin City:

Destination City:

Additional comments/requests. If a particular tour inspires interest, please enter the Tour Number/Tour Name in the space below:

How did you find our website?

Search Engine

url:http//www

Link from a site

url:http//www

Newspaper/Magazine

Name:

Word of mouth

Other means

How:

If you have a problem submitting this form, please print it, write your details and Fax it to : ++(255-22) 2116659/2116660 or alternatively email details to: info@takimsholidays.com

PLEASE COMPLETE AS FULLY AS POSSIBLE SO WE MAY BEST ANSWER YOUR QUERY