Zingelani Safaris

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We need to understand your requirements. Please fill in all the fields of the form below, giving us as much information as possible and E-Mail it to us by clicking on the send button, or Print the page and fax it to +27 86 607 0202. If this form does not meet your requirements, you are welcome to draw up a plan with the minimum information as requested below, and fax or E-mail it to our Pretoria office. It is important that the needs of each individual member are stipulated. If necessary, separate forms may be completed.

Personal Information

All First Names:

Prefered Name:

Surname:

Passport Number:

Issuing Country:

Identity Number / Social Security Number:

International Numbers:

Tel: (home)

Tel: (work)

Facsimile Number:

E-Mail Address:

International Address:

Country:

Residential / Home:

Postal (where trophies must be sent to):

Safari Details

Planned Period With ZINGELANI Safaris

From:

(dd/mm/yyyy)

To:

(dd/mm/yyyy)

Place Of Arrival:

Date Of Arrival:

(dd/mm/yyyy)

Place Of Departure:

Date Of Departure:

(dd/mm/yyyy)

Airline And Flight Number:

Total Number Of Hunters In The Team:

Total Number Of Non-hunters In The Team:

Create Your Own Adventure Or Hunting Package. Give Detail Of Your Needs Or Game You Would Like To Hunt.

Do You Intend Bringing Your Own Rifle?

	Make	Caliber	Serial Number	QtyAmmo
1.
2.
3.

Do You Want A Video Of Your Safari (Price On Request)?

Yes No

Do You Want An Oil Painting Of Your Trophy (Price On Request)?

Yes No

Health

	Yes	No	Medication
Diabetic
Allergies
Special Medication
Medical Conditions Or AnyDisabilities We Should Know About

Preferences

Alcoholic Drinks
Brandy	Vodka	Sherry
Whisky	Gin	White Wine
Rum	Cane	Red Wine
Other:

Beer
Castle Light	Castle	Windhoek Lager
Heineken	Windhoek	Amstel
Other:

Soft Drinks
Still Water	Coca-Cola	Fruit Juice
Sparkling Water	Diet Coke	Veggie Juice
Soda Water	Coke Light	Milk
Other:

Food
Barbecue	Mutton	Vegetables
Pork	Chicken	Fruit
Beef	Venison / Game	Dairy Products
Preference:

Special Dietry Requirements:

Are You A Vegetarian?

Yes No

We might, after your booking has been confirmed, request more information to ensure a pleasant and memorable safari in Southern Africa. We will aslo furnish you with enough information to plan your safari.