* Required fields
Full Name*
Number of people travelling*
Email*
Adults
Nationality
Children (Below 12 yrs)
Proposed date of arrival (Can be changed later)*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
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19
20
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23
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27
28
29
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31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
Length of time in Bush*
days
Places you would like to visit in Northern Tanzania (check all that apply)*
Arusha Overnight
Tarangire National Park
Lake Manyara National Park
Serengeti National Park
Ngorongoro Conservation Area
Arusha National Park
Kilimanjaro National Park
Other
Interests (check all that apply)
Wildlife
Tribal People (Maasai)
Culture
Scenery
Other
Places you want to visit in Zanzibar and/or activities you wish to do (check all that apply)
Stone Town (Zanzibar City)
Northeast beach resorts
Southeast beach resorts
Mnemba/Chumbe Islands
Pemba Island
Town Tour Excursion
Prison Island Excursion
Spice Gardens Excursion
Jozani Forest Excursion
Other
If you are interested in climbing Mt. Kilimanjaro or Mt. Meru, please indicate your climb preference
5 Day Marangu Route Kilimanjaro
6 Day Marangu Route Kilimanjaro
6 Day Machame Route Kilimanjaro
7 Day Machame Route Kilimanjaro
Mount Meru
Other
What type of accommodation do you prefer for most of your trip? (check all that apply if you wish a combination
Safari Lodges
Luxury Tented Camps (permanent)
Mobile Camping - Classic (furnished)
Mobile Camping - Basic (sleeping bag)
What is your budget (per person excluding international air)?
Less than US $1,500.00
US $1,500.00 - $2,500.00
US $2,500.00 - $3,500.00
More than US $3,500.00
I have not made up my mind yet
What language do you most prefer your driver/guide to speak?
English
French
German
Spanish
Other
Other information or comments
