Name *

First Name

Last Name

Phone

Country

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Have you been on a Safari before?

Yes

No

What Safari option would you like to experience?

Luxury

Classic

Standard

Explorers

Horseback

Houseboat

What areas would you like to visit?

Okavango Delta

Chobe National Park

Central Kalahari

Makgadikgadi

Tsodilo Hills

Not sure

What Safari activities would like to do?

Game drive 4x4 vehicles

Motor boating

Walking safaris

Walking with the San People

Horseback Safaris

Cycling

Mokoro & canoe

Note sure

In what season would you like to travel?

Summer & Dry / Oct, Nov

Summer & Rain / Dec, Jan, Feb, Mar

Autumn / Apr, May

Winter / Jun, Jul, Aug

Spring / Sep

Not sure

Would you like Janaina to be your Safari host?

Yes

No

Not sure

Would you need a Portuguese translator?

Yes

No

Not sure

What is your budget for your fully inclusive Safari?

US$ 30,000 per person for 6 nights

US$ 20,000 per person for 6 nights

US$ 10,000 per person for 6 nights

US$ 5,000 per person for 6 nights

Not sure