Title: Mr. Mrs. Miss Ms. Dr. Other Other title:   Full Name:

Street : Town/City:

 State/Region  Post/Zip Code:

Country:

Telephone Number:

Fax Number:

*Email Address:

PROPOSED DATES OF HUNT: Don’t know
Year: Month: -- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

PROPOSED LENGTH OF HUNT 7 days 10 days 14 days 16 days 21 days Other

NUMBER OF HUNTERS IN YOUR PARTY: 1 2 3 4 5 or more

NUMBER OF NON-HUNTERS IN YOUR PARTY: 0 1 2 3 4 5 or more

SAFARI DESTINATION(S) THAT YOU ARE INTERESTED IN
 Tanzania, South Africa, Botswana,
  Namibia, Other :
(Can tick more than one destination) 

NUMBER OF CLIENTS TO PROFESSIONAL HUNTER: 1 x 1 2 x 1

PARTICULAR SPECIES SOUGHT: Elephant , Buffalo,
Lion, Leopard,
Others:


ANY NON-HUNTING ACTIVITIES YOU MAY WISH TO DO:
Sightseeing, Photography, Game viewing,
Fishing, Wing-shooting, Other:

HAVE YOU HUNTED IN AFRICA BEFORE: No, Yes
If yes, please specify:

WHERE DID YOU FIND OUT ABOUT KUDULAND SAFARIS: -- Magazine Advertisement Internet Personal Recommendation Other If Other, where?

Questions/Additional Information:

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