Mama Tembo Tours - Contact

Online Booking Form

One booking form to be submitted for each person traveling.

I have read, understood and agreed with the Booking Conditions:

Yes | No

Contact information

First name:

Last name:

Email address:

Primary telephone:

Alternate telephone:

Fax:

Mailing address:

City:

Province/State:

Postal/Zip code:

Country:

Tour and travel information

Safari date:

dd/mm/yy

Tour title:

Flight details

Airline:

Flight number:

Arriving in Tanzania

date: time: place:

Departing from Tanzania

date: time: place:

Passport details

Passport number:

date of issue: expiry date:

place of issue:

Single Supplement?

Yes | No

Personal information

Age:

Fitness level:

very fit

not very fit

Any existing medical conditions?

Any special dietary requirements?

Emergency contact

First name:

Last name:

Email address:

Primary telephone:

Alternate telephone:

Comments/requests?

A PDF version of this form is also available for download here.

Upon confirmation of this booking request you will be asked to sign a waiver.
A PDF version of the waiver can be seen here.

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