Full Name :
Email Address :
Telephone :
How many Travelling? :

*The more information you can provide us with, the better we can assist you.

Do you know when you plan to travel?

	Within 6 months
	Within 1 year
	Next year
	Not sure

Do you know where you want to travel (check all that applies :)?

	East Africa:
	Kenya
	Tanzania
	Gorilla Trekking
	Southern Africa:
	Zambia
	Zimbabwe
	Botswana
	Malawi
	Namibia
	South Africa:
	South Africa

How long do you have to travel?

	2 weeks
	3 weeks
	4 weeks
	6 weeks

What level of comfort are you looking for?

	3-star – clean, good food, but nothing special
	4-star – pleasant, excellent cuisine, extras
	5-star – luxury, gourmet food, personalize service
	6-star – the best available

What is your budget – excluding international airfare?
We understand that this is often a difficult question. However, the answer will help us determine accommodation and how many flights to include in your itinerary.

	Cheap – Under $100 per day – Overland safaris and participative camping
	Budget – $100 - $200 per day – Cross-country and driving safaris where you stay in large lodges.
	Moderate - $200 - $275 per day – Full service camping, the larger lodges, and driving safaris.
	Deluxe - $275 - $375 per day – Smaller lodges and camps and some flights between the game parks and reserves.
	Ultra-Deluxe - $375 - $500 per day – Luxury mobile tented camping, Exclusive lodges and tented camps. Private reserves. Charter aircraft.
	Luxury - $500 + per day – Over the top but worth it if you can afford it.
	Ultra-Luxury – $700 – $1,200 per day – The ultimate in accommodation, dining, and game viewing.

Do you have any special interests such as photography, birding, or walking?

Yes

No

Do you want to travel with a group of like-minded travelers or do you prefer independent travel?

Join a group of like-minded travelers

Travel independently on a custom designed safari

 

Do you have any Questions/Comments?:

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Address: Focus on Africa Publications
30 W. Mission – Suite 7
Santa Barbara , CA 93101

Telephone: (800) 927-4647