FAUNAFRIKA

SAFARI RESERVATION FORM

P O Box 9201                                               P O Box 940144
Centurion                                                       Simi Valley
0046                                                              CA93094-0144
South Africa
Fax:  011-27-86-559-2330                            E-Mail: 
ken@lantic.net

Last name

Surname

Gender

Occupation

Home Address

Business Adress

Date of birth

Marital Status

Nationality

Tel ( Home)

Tel (Work)

Fax (Work)

Next of Kin

Adress

Your hunt :

Number of days

Arriving

     Departure

Number of non hunters

Tel nr. 

Passport Number: 

Email Address: 

Names and relationship

Specie Priority

Firearms

Do you need to hire Firearms

Calibres

Personal :

Beveradges

Beer

Wine

Type of Wine

Type of Spirits

Juices and Sodas

Food and Cuisine  ( Your dislikes)

Preferences

Health :

Blood group

Hunting :

Allergies

Special medication

Do you require bow or birdhunting facilities

Hotel before or after hunt ?

Photographic Touring

Air charter

INDEMNITY AND WAIVER: I the undersigned do hereby indemnify the members and staff of Faunafrika CC and all or any of its associate companies, organizations or persons acting for, through or on its behalf, against any loss or damage whatsoever caused directly or indirectly by delays, sickness, death or loss or damage to property whether occasioned by negligence or not, or any expenses arising therefrom, which I may suffer while with Faunafrika CC, or while under its control or custody.

Donation Hunt Purchase:

Organiization Purchased from

Date purchased

Price Paid ($)

Total value of Hunt

Number of days included

Species included

Deposit Paid ($)

Date

Credits (if any)

Check number

Supplementary Information :

Have you hunted Africa Before

If so - Which countries

Species bagged in Africa

YOUR TRAVEL ARRANGEMENTS.

GRACY-MARRS TRAVEL AGENCY apparently does more travel arrangements to Africa for South African Airways than any one else. They have also contracted a special deal to SAA for SCI members. Their service is excellent and prices will normally be the absolute lowest. Call them for a price and compare with your regular Travel Agent.

Talk to Debbie the owner or any of her staff at:

1 800 299 8558

Fax: 210 698 2158

Click on SUBMIT to forward to FAUNAFRIKA. By submitting you agree to the above terms and conditions.