Africa Travel Centre

Questionnaire

Traveling to Africa is a unique and exciting experience; we want you to enjoy it to its fullest potential. Because Africa is so vast with so much to offer, many different possibilities exist for customizing your vacation. Please fill out the following form to help us learn more about your desires and expectations for travel in Africa. Knowing the details of what you want to experience in Africa will allow us to coordinate the perfect travel package for you.

Let's get started on your adventures!

Trip Overview
Number of travelers in your party:

Number of nights you'd like to spend in Africa:

Time of Year you'd like to travel:

What is your overall Budget Range you expect per person per day (see Costs for more information):
Exclusive: Expect to pay $600/person per day.
Luxury:
Between $400 to $600/person per day.
Basic:
Between $200 to $400/person per day.

On Safari, which accommodation would you prefer:
Deluxe Lodges
Permanent Tented Camps
Mobile Tented Camps
More rugged participation camping

Which Countries are you interested in visiting?

Botswana

Kenya

Madagascar

Malawi
Mozambique
Namibia

South Africa

Swaziland
Tanzania
Zambia
Zimbabwe

Your Interests:
Wildlife
Birding
Ecology
Museums
Cultural Shows
Small Villages
Photography
Shopping
Outdoor Adventure
Cape Wine Country
Other:

Select any of the following Activities that apply:
Safari Game Drives
Night Game Drives
Walking Safaris
Canoe Safaris
Horse-back Safaris
Elephant-back Safaris
Trekking/Hiking
Bungee Jumping
White-water Rafting
Canoeing
Helicopter Rides
Micro-liting
Hot Air Ballooning
Scuba Diving
Snorkeling
Other Activities:

Additionally, would you like Africa Travel Centre to arrange your international airfare? YES NO

How can we contact you?

Name *

E-mail Address * Sign up for e-mail list?

Phone:

Main*

Work

Fax

Address:

Addr1

Addr2

City* State* Zip/Postal

Country*

Additional Comments/Questions

* Required Fields

Africa Travel Center
PO Box 1918
Boulder, CO 80306
(303) 473-0950
E-mail safaris@africatvl.com
Hours: M-F 9a-5p

We're happy to talk with you on the phone or answer an email anytime. Or, use the questionnaire to help give us more information about what you're thinking!

We look forward to working with you,

Karen Cockburn, Owner

Botswana Kenya Madagascar Malawi Mozambique Namibia South Africa Swaziland Tanzania Zambia Zimbabwe

e-mail safaris@africatvl.com

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