Safari Reservation Form - Book your Holiday Now

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African Safari Reservation Form 1. Client Details:   Title First Name Family Name Room  Qty 1 Mr Mrs Ms Miss Dr Double 2 Mr Mrs Ms Miss Dr Twin 3 Mr Mrs Ms Miss Dr Triple 4 Mr Mrs Ms Miss Dr Single 5 Mr Mrs Ms Miss Dr   6 Mr Mrs Ms Miss Dr   7 Mr Mrs Ms Miss Dr   8 Mr Mrs Ms Miss Dr   2. Address Details for all Correspondence: Address 1 Contact Tel. IMPORTANT In an Emergency, please contact the following: Name Tel. Mobile Address 2 Mobile Tel.     Town/City Email County/State Confirm Email  Country     Post/Zip 3. Safari Details: Choose Your Safari Tailor-Made Safari --------------------- KENYA SAFARIS Kenya Highlights Kenya Explorer Remote Kenya Mara Explorer Flying Kenya Wild Kenya --------------------- TANZANIA SAFARIS Tanzania Highlights Tanzania Explorer Remote Tanzania Serengeti Explorer Exclusive Tanzania Beach & Bush Safari Start Date   No of Days on Safari  Please confirm that you have / will arrange comprehensive travel insurance for all people on your booking By ticking the following box you confirm that you have read, understood & agree to the standard terms & conditions of your Safari booking Terms & Conditions