Travel Questionnaire Form

Everything in Africa bites, but the safari bug is worst of all.

-Hemingways.
Let's make your dream come true.

Please fill out this form.
Welcome! I'm so excited to plan your AMAZING vacation with you!

To get started, I need a little information about you and your trip. Don't worry if you don't have all the details worked out yet - that's what I am here for! The below form is just to give me an idea of what you have in mind.

Rest assured, your privacy is VERY important to me! The information you provide below using our secure form will only be used for travel planning services with us, and will be shared with suppliers and vendors only as needed to plan and/or book your travel.

I will NEVER sell or give away your information.
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
I reside in?*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
We want to learn more about your travels to better assist you with planning :) Check ALL that apply.*

All Inclusive (Adult Only)All Inclusive (Family Friendly)Solo VacationGroup Vacation (6 or more)Girlfriends GetawayPrivate ToursAdventuresHiking Highest peaks in Africa
We want to learn more about what you would like to see during Safari :) Check ALL that apply.*

The Big 5The Great MigrationGorilla TrekkingKilimanjaro ClimbOkavango DeltaVictoria FallsPyramid of GizaBeach/Water activitiesOther
Travel Information

We want to learn more about your travels to better assist you with planning :)
Choose Country you would prefer to visit

Check as many boxes that apply.
Check as many as apply*

KenyaTanzaniaUgandaRwandaSouth AfricaBotswanaZambiaZimbabweEgyptNamibiaOther
Trip Duration:

3-4 Days5-7 Days8-14 DaysOver 14 Days
Who Travels With You:

SingleCoupleFamily w/kidsFriends/Family GroupOther
Trip Budget: Per Person

Up to $5,000$5,000-$10,000$10,000-$15,000$20,000-$25,000Over $25,000
What are your preferred dates of travel?

Check as many boxes that apply.
Traveling Months

JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberEnter Dates
Congratulations !

Tell us more about your wishes regarding budget and accommodations or if you have any other request.
Notes:
Should be Empty:

Everything in Africa bites, but the safari bug is worst of all.

Let's make your dream come true.

Travel Information

Choose Country you would prefer to visit

What are your preferred dates of travel?

Congratulations !