Booking Form

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* Required Fields

    Client Information :

. 
Name:   
Address: 
City: 
State:       Zip: 
Country:
Email: *
Phone:
Fax:

 

    Booking dates:

  
Preferred dates: From:   To :  
Alternative dates: From:   To :  
 Type of safari:
Camera: 

Bow: 

Rifle:

No. of people:
No. of bedrooms required:
No. of hunters:
Animals to be hunted:
( Click here for list of animals and tariffs )
.
Remuneration agreement: On receipt of this booking form, we will forward to you by e-mail a Remuneration Agreement showing a breakdown of the total cost in US Dollars and bank account details for you to deposit 50% of the daily rate amount. The safari will be booked on receipt of the said deposit. 
Indemnity: I/we do not hold Quaggasfontein Safaris or any of its employees or agents responsible for any accident, death or damage sustained by me or any of my dependents, irrespective of the cause of such accident, death or damage.
.

 

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