Information Request Form
           (Namibian Naturism safaris)

Name of Naturist safari that you are interested in?: 
(If not sure, click on link to double check your choice - will open in new window).

    Naturist's New Year Special - 2004/2005 accommodated full-Naturism safari (Number
                                                        of days available- & time of year/dates fields do not
                                                        apply as this is a scheduled safari with fixed dates).

    Naturist's Wildlife Adventure - 14-day Naturist's / non-Naturist's combination adventure

    Naturist's Desert Adventure - 14-day Naturists / non-Naturist's combination adventure

   The Private Naturist - A 6-day Naturist's horse riding & swimming safari

   The Angel's View Hiking Adventure - 11/12-day hiking/camping adventure (Half-hike available)

    None of the above, my own personalized Naturist's safari (Please give details,
         interests & preferences in COMMENTS field. (Maybe you wish to join more than
         one safari - please indicate additional safari titles in COMMENTS field).

Group Composition: Male                    Group Composition: Female

                        Number                                                    Number

Average age of group:

Age_group_16_29 Age_group_30_45 Age_group_46_59 Age_group_60_75 Age_group_76_and_older

How many days will you have at your disposal?

What are your time of year-, or approximate date preferences?

Please tell us where or how we can contact you:

First & Last Name:
Title/Salutation:	Dame Dr. Lord Miss. Mr. Mrs. Ms. Prof. Rev. Sir 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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