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Please complete the form below to contact us (areas marked with * are mandatory).

*First Name:


*Physical Address:

*Expiry Date:


*Do you suffer from allergies
(food, drink or insect bites)?

*List species of game required,
in order of preference

*Do you have any previous experience hunting African game? (If yes, please give details)


*Date of Birth:

*Passport Number:

*Postal Address:


*Do you suffer from any disability?

*List of preferred brands of liquor
and cigarettes if required

*List particulars of firearms for which temporary permits are required (make, calibre and serial number)

  *Contact Number:

*Fax Number:

*Email Address:

*Issue Date / Place:

*Home Language:

*What, if any, medication may be
required whilst on safari?

*List of food and eating preferences
(likes and dislikes)

*List number of rounds of ammunition for which a temporary import permit is required


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