Full Name :
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Street Address :
City :
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Zip/Postal Code :
Country :
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Telephone Number:
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Email Address:
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Total number of persons in your group including yourself :
Adults :
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Children aged below 12 :
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For how many days?
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Approximately when are you planning to make this tour? (dd/mm/yyyy) :
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Starting point of your safari :
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Dar es Salaam
Arusha
Other...
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How did you find us?
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A Friend
Search Engine
Newspaper / Magazine
Another Website
Television/ Radio
Word of Mouth
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Places you want to visit in Southern Tanzania
(check allz that apply)
Selous Game Reserve :
Ruaha National Park :
Mikumi National Park :
Udzungwa Mountains National Park :
Kitulo National Park :
Overnight in Dar es Salaam :
If other, please specify :
Places you want to visit in Zanzibar
(check all that apply)
Stone Town (Zanzibar City) :
Northeast beach resorts :
Southeast beach resorts :
Mnemba/Chumbe Islands :
Pemba Island :
Town Tour Excursion :
Prison Island Excursion :
Spice Gardens Excursion :
Jozani Forest Excursion :
If other, please specify :
Places you want to visit in Northern Tanzania
(check all that apply)
Serengeti National Park :
Ngorongoro Conservation Area :
Lake Manyara National Park :
Tarangire National Park :
Arusha National Park :
Kilimanjaro National Park :
Mkomazi National Park :
Maswa National Park :
Overnight in Arusha Town :
If other, please specify :
Places
you want to visit on the Coast of Tanzania
(check all that apply)
Saadani National Park :
Mafia Island :
Zanzibar Island :
Amani Natural Reserve :
If other, please specify :
Places
you want to visit in Western Tanzania
(check all that apply)
Katavi National Park
:
Gombe National Park :
Rubondo National Park :
Mahale Mountain National Park :
If other, please specify :
Places
you want to visit for Historical and Cultural tours in Tanzania
(check all that apply)
Pangani :
Kilwa :
Bagamoyo :
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Mountain Trekking and Climbing activities
(check all that apply)
Mount Kilimanjaro:
Mount Meru :
Mount Usambara :
Mount Uluguru :
Mount Udzungwa :
Mount Ol Doinyo Lengai :
If other, please specify :
Interests
(check all that apply)
Wildlife :
Tribal People (Maasai) :
Culture Tours:
Scenery :
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What type of accommodation do you
perfer for most of your trips?
(check all that apply if you wish a combination)
Safari Lodges :
Luxury Tented Camps (permanent) :
Mobile Camping - Classic (furnished) :
Mobile Camping - Basic (sleeping bag) :
Budget Lodges :
In Zanzibar :
Inns (stone town) :
Waterfront Resorts :
Budget Lodges :
Additional Information :
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