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Questionnaire

The following questions will enable us to commence designing an Itinerary suited to your particular expectations:
PLEASE NOTE: that this will only work if you have email installed on your computer - it will not work if you use Yahoo / Google Mail etc. - in which case copy and paste the email address below

First Name:

Last Name:

Email address:

Contact Phone

How many in your party?

Number of Children who will be under 12yrs old

at the time of travel?

Your preferred date of travel MM/DD/YYYY:

2nd Choice for date of travel MM/DD/YYYY:

Special Dietry Requirements?

Particular Destinations of interest:

Preferred Hotels / Lodges:

Time you have available (in days):

Do you or your party have any specific interests or activities you wish to follow:

Type of accommodation preferred:

Budget - basic Camping

Comfortable - real beds but no private facilities

Luxury - your own private facilities, good food

5 Star - full luxury, gourmet cuisine and fine wines

Do you, or your party, have any specific requirements, or other information we should know about?

What will be your preferred method of payment?

Bank Transfer

Credit Card

Book through my local Travel Agent

or email us - info@island-safari.com

Thank you, we will contact you within 24 hours