About US | How to Book
We appreciate receiving this Request Form even when you call or contact us directly.
Please provide as much information about your desired vacation requirements, so that we may provide as accurate a quote as possible.
* = required fields
First name:
Last name:
* Email address:
Day Time Telephone:
Country of Nationality:
* Destination of your interest:(Where would you like to go?)
When are you planning to travel?
Date of arrival: Date of departure:
Numbers of adults:
Numbers of children under 12:
Passenger ages (eg. 35, 40):
Number of rooms:
Have you booked your flights? Yes. No.
Would you like to hire a car? Yes. No.
Would you like us to arrange transport from the airport? Yes. No.
Which countries do you want to include in your Vacation? (eg. South Africa, Uganda)
Have you ever travelled to Africa before? Yes. No.
What is important to you?
Other details about your desired African vacation:
Please quote me on: flights accommodation car hire
How much time on safari? days
Total budget exclusive of air: USD
Total vacation budget: USD
How did you first hear about us?
Home | About US | How to Book AFRICA DISCOVERY • PO BOX 9807, San Rafael, CA 94912 USA 1-800-886-7321 • phone: (415) 444-5100 • fax: (415) 444-5560
