Name
Last Name
Email
Contact Number
1.
How long would you love your trip to be?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Days
2.
Have you been to Africa before?
Yes
No
If Yes, where?
3.
What is your budget per person?
(Including Air Fare)
$ 5 000 - $ 7 000
$ 7 000 - $ 9 000
$ 9 000 - $ 11 000
$ 11 000 +
4.
When travelling what star rating of accommodation are you accustomed to?
3 Star
4 Star
5 Star
5.
What would you like to see and do on your trip?
Scuba / Snorkeling or Island Activities
Horse Back Safaris and Bird Watching
Hiking / Tree Topping / Outdoor Activities
Whale Watching / Shark Diving
Sport Fishing
Wildlife Viewing / Photo Safaris
Wine Tasting / Culture
Elephant Back Safaris / Family Adventures
Extreme Activities
6.
How many Adults?
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
7.
How many Children?
0
1
2
3
4
5
6
7
8
9
10
8.
From:
To:
9.
When you dream of Africa, what do you see?