| Your Name |
|
| Email address |
|
Selected Vacation end |
|
Travel Dates From(Month/Date/Year) |
|
| You nearest Airport |
|
| No of adults in party |
|
| No of children aged 3-16 years |
|
| Names of guests |
|
| Address |
|
| Telephone |
(
)
|
| Cellphone |
(
)
|
| Fax |
(
)
|
| |
|
| Please mention any specific dietary requirements (eg. Vegetarian or lactose intolerant etc.) |
|
|
|
I prefer to pay by:
(we will send the relevant details through to you on confirmation of your booking) |
Credit card
Direct deposit into bank account
by cheque
|
|
|
| How or where did you find out about I African Safari and discover our web site address? |
|
| |
|
|
|
