Destined To Travel

Your Name (required)

Your Email (required)

Your Phone No.

How did you hear about us?
 From Kay (Safari Kay) Through friends From website links From a banner ad From an article By searching Google, Yahoo, MSN, etc. Other 

If other:

Do you have a U.S. Passport? (required outside USA)
 Yes No
If not, what country?

Expiration date(s):

Are you interested in an African Safari?  Yes Maybe No

Have you traveled before?  Yes No

If yes, where?

Departing from:

Destination:

Have you been to this destination before?  Yes No

Approximate vacation length?
less than 1 week7 days10 days14 days2 weeks3 weeksover 3 weeks

Dates: From - To
-

Dates- firm or flexible?
 firm flexible

Number of people in party?
 1 2 3 4 5 6 more

Any Children?  Yes No Ages:

Do you require any special needs?  Yes No

If yes, what?

Number of Rooms Desired?
 1 2 3 more

Room type?
 balcony interior 2-story interior ocean view suite other  : : If Other:

Budget amount? Max amount?

Or per person budget?

Want travel insurance? Optional but recommended. Required for Africa.
 Yes No

Comments

Answer this: Chicken Little had a dozen eggs thrown at him. How many eggs were thrown?