Name:
Address:
City:
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Code:
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Date of arrival to Tanzania (approx)
Date of departure from Tanzania (approx)
Number of adults travelling?
Number of children?
Which National Parks would you like to visit?
Nothern Circuit
Southern & Western Circuits
Kenya Destinations
Uganda Destinations
Maasai Mara National Park
Amboseli National Park
Tsavo National Park
Lake Nakuru National Park
Mgahinga National Park
Kibale Forest
Bwindi National Park
Specify Other
Which mountains/peaks would you like to climb? (check all that apply)
Zanzibar
Pemba
Pangani
Select Route
Mount Kilimanjaro
Mount Meru
Mount Ol Donyo Lengai
Ngorongoro Highland
Usambara Mountains
Mahale Mountains
Which islands would you like to visit?
What type of accommodation would you prefer for your safari?
Standard hotels/lodges
Standard tented camps
Luxury hotels/lodges
Other information or comments
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