Information Request Form
         
      (Honeymoon combination Safari)

(NOT A BOOKING FORM - SIMPLY AN ENQUIRY, FROM YOU TO US)


The following information will first tell us that you are interested in combining our Desert Option
of
Cupid's African Dream, with our Water world Option as a single Honeymoon safari, and 
then supply us with the information that we need to respond accordingly.  Please complete as
fully as possible, thus HELPING US TO HELP YOU!


               
            Name of Specialized safari that you are interested in:    Cupid's African Dream 
            
               We wish to fully combine the desert & water world itineraries - with a quotation,
                    please.

               No, we have our own questions to ask. (Please give details in the Special
                   Requests/Comments field at the bottom of this form
)

          Average age of group:

   

We have days available.

What time of year-, or approximate date do you intend to visit Namibia for your
Honeymoon?

Please tell us where or how we can contact you:

First & Last Name: 
Title/Salutation:  Military/other Rank:
Country/Nation./Lang.: 
E-mail: 
Fax: 
Telephone: 
Today's Date:

 

SPECIAL REQUEST OR COMMENTS

ALL INFORMATION WILL BE TREATED AS CONFIDENTIAL

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Should you experience any difficulty with our Information Request Form (servers are not
always
on duty 24 hours a day), then contact us directly via
UK residents, please remember,
you can also contact us by telephone -
at local rates - by dialling:
                    UK number:    07040108254    Destination number:    0026461229322

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Date last updated:    Wednesday, January 20, 2010 10:58