| Client Questionnaire: |
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First name |
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Last name |
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Salutation |
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Street |
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Additional adress line |
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Postal Code / Town |
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Country |
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E-Mail |
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Names of travellers |
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Travel date / Duration |
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from
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No. of persons |
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Age of persons |
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No. of Children |
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Age of children |
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Budget available |
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Currency |
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Which language do you speak? |
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english |
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german |
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other
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Type of accommodation |
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Hotel |
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*****luxury
****superior
***standard |
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Lodges |
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Guesthouse/Farm |
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Bed and Breakfast |
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Camping |
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No. of doublerooms |
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No. of singlerooms |
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Other |
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Special dietary requirements |
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diabetic |
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vegeterian |
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allergies
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What type of safari are you interested in? |
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Fly-In Safari (6-seater Cessna Aircraft) |
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Adventure Safari |
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Hunting Safari |
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Fishing Tour |
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Optional Activities |
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Hot-Air Balooning |
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Desert Trips |
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Birdwatching |
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Gourmet Tours |
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Winetastings |
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Quadbikes Riding |
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4x4 Off Road Tracking |
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Motocross |
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Mountain Hikes |
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Train Journeys |
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Stargazing |
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Horseback and Camel Trails |
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Marine Tours |
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Diving Tours |
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Whalewatching |
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Cultural- and Community-Tours |
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Historical Namibia |
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Explanation: |
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Safari: Multiple Day Trip with overnight at different Locations
Tour: one- or half day Trip |
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I agree to receive the NEWSLETTER of African Nature Adventure together with my quotation. |
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