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Your Details

Title Mr Mrs Miss Other. If other:
Your name First Name: Last Name:
Street
House No::
Town:
County/province:
Post/Zip code:
Country:
Contact detailsDaytime Phone No:
Evening Phone No:
Mobile:
Email Address:

Travel and Accomodation

Preferred dates of travel?Out:
Return:
Are the travel dates flexible? Yes No
If 'Yes', by how many days?
How many people will be traveling in your party?Adults:
Children:
What country are you traveling from?
What is your budget for accommodation? (per night)

Prices are based on the cost of standard double or twin room charges at non-resident (tourist) rates.

$25-35
$35-50
$50-70
$70-100
$100-150
$150-250
$250 Plus
How many rooms will you need?Single:
Double:
Triple:

Your Holiday

Is this holiday for a special occasion? Honeymoon
Wedding
Anniversary
Birthday
Other
No
What is your rough budget for your holiday? (per person) under $ 1.000
$1,000-2,500
$2,500-5,000
5,000 and over
What would you like to do on your holiday? Tours
Stone Town
Spice Tour
Safari Blue (Blue day)
Dolphin Safari
Jozani Forest
North Trip (Beach Day)
Jeep Safari
Prison Island and Snorkeling
Other tour Suggestion 		Safaris
Serengeti Natl. Park
Ngorongoro Crater
Lake Manyara Natl. Park
Tarangire Natl. Park
Arusha Natl. Park
Mountain Kilimanjaro
Mountain Meru
Other safaris

Packaged Holidays please type in the code for the holiday that interests you.

Other activities or requests
Any other comments?
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Phone: +255 762 744163, Email: info@beachhouse-tanzania.com, Web: www.beachhouse-tanzania.com