Information Request Form

Request Information

We love Africa and African Safaris! We live and breathe African Safaris every day!

You won't find another African Safari travel company with our knowledge and our passion
for Africa, its wildlife and its safari destinations.

If you have questions about going on African safari or a holiday in Africa, feel free
to give us a call or fill out the form below.

African Safari Information Request Form
(or use the link at bottom to send us an email)

First Name:
Last Name:
Street Address:
City:
State/Province:
Zip Code:
Country:
Telephone:
Fax:
Email Address:
Please contact me by:	Phone Fax Email
Gender:	Male Female
Please select your choice of accomodations:	Tent Camp Luxury Exclusive Premier
How many in your travel party?
If you have any special requests for your accommodations, please enter them here:
What month would you like travel to Tanzania?
How long would you like to go on Safari?
Any other comments or requests for special information:

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