The Africa Adventure CompanyThe Africa Adventure Company

Safari Questionnaire

This information is confidential and The Africa Adventure Co. will only use the information for its own use and will not sell the mailing list to any outside parties.

Contact Details

Name

Address

City

State

Zip

Telephone

E-Mail Address

Safari Specifics

Which region do you wish to visit?

East Africa
Southern Africa
Central Africa

Which Countries do you wish to visit?

Open
Tanzania
Kenya
Uganda
Zimbabwe
Botswana
Zambia
Malawi
Namibia
South Africa
Mozambique
Seychelles
Mauritius
Egypt
Rwanda
Other (Please write in comments box)

What do you wish to experience in your safari?

Open
Day game drives
Night drives
Walking safaris
Boat Safaris
Canoe safaris
Mountain climbing
Special interest safaris
Horseback safaris
Elephant back safaris
Gorilla trekking
Chimpanzee trekking
Hot air balloon safaris
Scuba diving / Snorkeling
Fishing
Birdwatching
Luxury train safaris
Beach holiday

What level of safari do you prefer?

Open
Luxury
1st class
Moderate
Budget
Camp participation

Do you prefer?

Open
Group program
Private
Combination

How many in your traveling party?

What type of accommodations do you prefer?

Open
Lodges
Permanent tented camps
Mobile tented camps
Combination

What are the age ranges of those traveling?

0 - 10 years old
10 - 15 years old
16 - 21 years old
22 - 30 years old
31 - 40 years old
41 - 50 years old
51 - 60 years old
61 - 70 years old
Over 70 years old

Month or date range in which you prefer to travel?

January
February
March
April
May
June
July
August
September
October
November
December

Year in which you prefer to travel?

Length of travel itinerary?

10 Days
14 Days
16 Days
18 Days
19+ Days

Individual Travel Budget

Land per person

Land & Air per person

Comments / Extra

I am interested in a home presentation

Comments

How did you hear about The Africa Adventure Company?

Return Client
Africa's Top Wildlife Countries
Referral
Web Search
Conde Nast
National Geographic Adventure
Outside Magazine
Men's Journal
IMAX Wild Safari 3D
Newsletter

 

Other

Who referred us?

© Copyright 2007 The Africa Adventure Company. All Rights Reserved.

5353 N Federal Highway, Suite 300, Fort Lauderdale, FL 33308, USA
Telephone 1.954.491.8877 / 1.800.882.9453 · Fax 1.954.491.9060

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The Africa Adventure Company