| First Name* |
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| Last Name* |
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| Address |
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| City |
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| State/Province |
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| Zip/Postal Code |
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| Country |
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| Telephone |
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| Email * |
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| If Yes, where and when did you travel? |
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| When would you like to travel? |
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| Activities / Interests you would like to enjoy on
your Safari Tour |
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photography
romantic
getaway
scuba / snorkel
wildlife
wine / fine
dining |
| List any specific wildlife interest (birds,
predators,cats,etc.) |
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| Anything in particular, you would like to
avoid? |
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| Number of people travelling and their respective
ages |
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If yes, what city?
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| How did you hear about us? |
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| Additional Comments |
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If you'd rather
contact us by email or telephone, then you'll find all of our
details at the bottom of this and every page in this website. Feel
free to call or email us, we'd love to hear from
you.
Across
Selous Adventures , Ltd.
P.O.
BOX 2761 Arusha - Tanzania
Tel:
+255 27 250 3558 | +255 754 306 530 |
Fax:+255 27 250 3558
Email:-richkitwika@yahoo.com |
