PERSONALISED SAFARI/TOUR FORM

Traveler Information - Details

*Denotes Required Field

Contact Name*
Email*
How many people wish to travel?	1 2 3 4 5 6 7 8 9 10 11 12
Number of days on trip?	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
Number of single rooms	0 1 2 3
Number of double/twin rooms	0 1 2 3
On what date would you like to begin your tour?	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec 2008 2009

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Please specify by checking the check boxes below the primary activities and places of interest you would like incorporated into your tour.

Activities
Game Viewing
Gorilla Tracking
Birdwatching
Chimpanzee & Primate Tracking
Volcano Trekking
Mountain Climbing
White Water Rafting
Fishing
Other (Please Specify)
Places of Interest
Murchison Falls National Park
Kibale Forest National Park
Queen Elizabeth National Park
Kidepo Valley National Park
Bwindi Forest National Park
Lake Mburo National Park
Mgahinga National Park
Mt Elgon National Park
Semliki National Park
Rwenzori Mtns National Park
Kabwoya Wildlife Reserve
Toro-Semiliki Wildlife Reserve
Parc Nationale des Volcanes(Rwanda)
Akagera (Rwanda)
Special Interest Areas
Lake Bunyonyi
Kampala
Budongo Forest (Royal Mile)
Jinja
Ssese Islands
Entebbe
Lake Albert
Ngamba Island Sanctuary
Sipi Falls
Lake Victoria
Other (Please Specify)

Please note that for persons wishing to participate in Gorilla Trekking activities the minimum age is 15 years. For Chimpanzee Tracking the minimum age is 12 years.

Please add any special requests in the comment box below.

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