African Horizons Travel Request Form

TRAVEL PLANNER

If you interested in traveling to any of the destinations serviced by African Horizons, please fill out the following form so we can help you plan your trip. It would be very helpful if you provide as much information as possible regarding the type of trip you would like to plan, including where you want to go, when you would like to travel, how many people are traveling, and a general idea of your budget (excluding airfare). Please note that the information that you provide will not be sold, exchanged or distributed in any manner and will be used solely to prepare a suitable itinerary for your trip. If you are not using a forms-capable browser you may . call us Toll Free: (877) 256.1074 or (847) 256.1075

Name:

Age:

Address:

City:

State:               Zip:

Country:

Home-phone:

Work-phone:

Fax:

Email:(required)   

Organization Name:

Date of travel:

Number in party:

Approximate budget:

Country you wish to visit.
Multiple items may be chosen

Kenya
Tanzania
Uganda
Zimbabwe
Botswana
Namibia
South Africa
Zambia
Seychelles

Type of Safari:
See FAQ's for a description of the types of safaris we offer.

Lodge Accommodations
Permanent Tented Camps
Mobile Tented Camps
Participation Camping
Flying Safari

Length of Safari (choose one)

Less than 7 days
7-14 days
More than 14 days

If you are traveling with children what are their ages

If you are interested in a specific safari(s) presented on this site type the name of the safari below
1) 2) 3)

Other questions or comments:

What search engine or web site brought you to our site?

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Please click the submit button only once.

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