Your Full Name:

Mr. Mrs. Ms. Prof. Dr. Rev. Sheikh.

Contact Information

E-Mail:

Location:

Date of arrival to Kenya: Day 01st 02nd 03rd 04th 05th 06th 07th 08th 09th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26 27th 28th 29th 30th 31st NONE Month January February March April May June July August September October November December Year 2007 2008 2009 2010

Itinerary Code(s)

General date of arrival inKenya(e.g. Summer/Spring 2007" e.t.c )

Length of time in bush (Number of days)

Length of time in Mombasa (Number of days)

Place that you want to visit: KENYA CITIES (Please Check all that apply)

Nairobi.

Mombasa.

Other (popular towns)

Lamu.

Malindi.

NAIROBI CITY EXECURSIONS AND TOURS (Please check all that apply).

Nairobi City Tour.

Nairobi National Park.

Karen Blixen Museum.

Giraffe Center.

Nairobi National Park & Bomas.

Other Places in Nairobi .

MOMBASA EXCURSIONS AND DAY TRIPS (Please check all that apply)

Mamba Village.

Mombasa City Tour.

Bamburi Nature Trail.

Tamarind Dhow.

Day Trip to Malindi.

Shimoni and Kisite.

Day Trip-Tsavo East.

Nakuru Express. (1 Day)

Other Mombasa Excursions and Day trips

MT KENYA CLIMB.

NARO MORU ROUTE -5DAYS.

SIRIMON ROUTE -5DAYS.

CHOGORIA ROUTE -5DAYS.

OTHER POPULAR ITINERARIES

OUTSPAN/TREETOPS HOTEL.

MASAI MARA .

AMBOSELI.

AMBOSELI-TSAVO-MOMBAS.

ABADARE TREE HOTEL / SAMBURU/ MT. KENYA.

NAKURU/NAIVASHA/MARA.

AMBOSELI NATIONAL PARK.

AMBOSELI - TSAVO.

MARA/L.NAKURU/L.BARINGO/L.BONGORIA.

ABADARE- TREE HOTEL - SAMBURU/ NAKURU/NAIVASHA.

MASAI MARA/ NAIVASHA/ AMBOSELI/ TSAVO.

ABADARES TREE HOTEL/MT. KENYA/NAKURU/ MAASAI MARA.

ABADARE TREE HOTEL /SAMBURU /NAKURU /MAASAI MARA.

MAASAI MARA/NAIVASHA/ TREEHOTEL.

MARA/NAKURU/SAMBURU OR AMBOSELI.

Interest

Wildlife.

Tribal People (Maasai).

Culture.

Scenery.

Other

Do you want a private safari or would you prefer to join a group?

Private.

Join a group.

Tell me about both.

What type of accommodation do you perfer for most of your trip? (check all that apply if you wish a combination)

Safari Lodges.

Luxury Tented Camps (permanent).

Mobile Camping - Classic (furnished).

What is your budget (per person excluding international air)?

Less than US $1,500.00

US $1,500.00 - $2,500.00

US $2,501.00 - $3,500.00

More than US $3,500.00

I have not made up my mind yet.

Money is no object.

What language do you most prefer your driver/guide to speak?

English.

French.

German.

Spanish.

Other

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