Request For Information


 


Request For Information

Thank you for your interest in our safaris. Please complete the following form. This will assist us in assuring you the best safari possible. If you would prefer a more personal approach, or wish to receive our catalog, please call: 1-888-205-1176

*Required Fields

Contact Information:
*First Name:
*Last Name:
*Mailing Address:
*City:
*State:
*Zip or Mail Code:
Country:
Daytime Phone:
Evening Phone:
Fax Number:
*E-mail Address:
Please call me directly at the above phone number,
     as I would like to discuss my travel plans.

Safari Plans:
Are you interested in one of the scheduled departures?
Would you like additional information on this group?
Are you interested in a custom itinerary safari?
Travel Date: Select travel dates (m/d/y)
What airport will you be departing from?
How many people will be traveling in your party?

      Adults 12 and over:

      Children 11 and under:

Safari Planning Decisions:
Please prioritize for us what aspects of your safari will be foremost in planning your safari.
Most Important
 
Next Most Important
 
3rd Most Important
 
4th Most Important
 
Least Important
 
When viewing wildlife would you be interested in walking safaris?
What type of accommodations would you prefer?
    Modest - clean & comfortable with few amenities
    Mid Range - nice, with amenities such as swimming pool
    Upscale - lots of creature comforts and other amenities
    Luxury - everything is taken care of - cost not an issue
    Variety - a little bit of each
Would you like to receive our catalog which has information on creating a custom itinerary?

Budget Planning:

What is your planned budget (per person in US dollars) for your safari. Excluding international airfare.

Note: Airfare can range from $1300 to $1600 coach class depending upon travel dates.

Contact Information:
How did you learn about WildTrek Safaris?
How would you like for us to respond to your inquiry?
    E-mail Me
    Fax Me
    Call me at daytime phone number
    Call me at evening phone number
    Snail mail with catalog
Use the space below for any questions, comments or other requests you may have: