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 in Uganda (e.g. Summer/Spring 2007" e.t.c )

Places that you want to visit: UGANDA CITIES (Please Check all that apply)

Kampala.

Jinja.

Other (popular towns)

Masaka.

Entebe.

POPULAR ATTRACTIONS (Please check all that apply).

Murchison Falls.

Kibale Forest

Queen Elizabeth National park

Mabira Forest (see primates, birds and butterflies)

Kazinga Channel/Lake Edward

Ruwenzori Mt. Range.

Rippon Falls/Owen Falls Dam.

Other Places in Uganda .

OTHER POPULAR ITINERARIES

9 Days -Jinja/ Murchison Falls/ Kibale Forest/ Queen Elizabeth National park (Luxury Lodge).

9 Days -Jinja/ Murchison Falls/ Kibale Forest/ Queen Elizabeth National park (Budget Accomodation).

11 Days -Murchison Falls/ Kibale Forest/ Queen Elizabeth/ Bwindi Impenetrable National Park. (Luxury Lodge).

Interest

Wildlife

Tribal People

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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