PERSONAL INFORMATION

TRAVEL INFORMATION

Where would like to Travel?
TanzaniaKenyaUgandaRwandaZambia

What are you interested in?Wildlife SafariAuthentic CultureBeach RetreatAdventures HikingSomething Else!

What are your Expected travel dates?
From To

Are you flexible with your travel dates?
YesNo

What is your expected travel duration?Less than 5 daysMore than 5 daysOne WeekMore than 1 Week

What type of tour are you interested in?SoloCoupleFamilyPrivate GroupSchedule Group

If is Group Safari what is the number of people3- peopleLess than 5-peopleMore than 5-peopleMore than 10-people

What is the Budget range per person?Less than $3000More than $3000Less than $5000More than $5000Prefer not to say!

Do you/anyone in the group have dietary/medical requirements?
YesNo

Do you/anyone want to include any celebration or special occasion?
YesNo
if Yes Please specify the occasion
and date

Have you traveled before to East Africa?
YesNo
If Yes, Please select all that are applicable
TanzaniaKenyaUgandaRwandaZambia

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