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Personal Details

      
Surname :
First Name's :
Home Address :
Business Address :
E-Mail Address :
E-Mail Address :
Home Telephone Number :
Business Telephone Number :
Home Fax Number :
Business Fax Number :

Emergency
Contact Details

      
Name and Surname : Fax Number :
Telephone Number : E-Mail Address :

Safari Dates
and Information

      
Number Of Days : Observers : Children : Dates From : To :
Number in your Party :

Will You bring your Own Firearms?

Yes No

   

Animal species you plan to take :

   
Lion Elephant Cape Buffalo Rhino Leopard Hippo Crocodile Giraffe Lioness Zebra Springbok Kudu Eland Roan Antelope
Klipspringer Grey Reedbuck Cape Grysbok Sharps Grysbok Duiker Steenbok Black Wildebeest Blue Wildebeest Caracal African Wildcat
Serval Genet Warthog Black Backed Jackal Bushpig Baboon Birds Springhare Ostrich Waterbuck Fallow Deer Reedbuck
Red Hartbeest Oryx Blesbuck Sable Suni Bushbuck Bontebok Oribi Red Lechwe Impala Damara Dikdik

Note : Animals will not be taken in any specific order, but at random as they present themselves

Please Give us your Itinerary

      
Arrival Date : Airline :
Arrival Time : Flight Number :
Departure Date : Airline :
Departure Time : Flight Number :

If you Plan to sight see before or after your hunt, Please indicate your interest
Game Parks --- Gold Mines --- Casinox --- Hiking --- Shopping --- Diamond Industry --- Museums --- Tribal Life --- Winelands
Cape Garden Route --- Southern Africa --- Deep Sea Fishing --- Golfing --- Fresh Water Fishing --- Rovos Rail --- Blue Train
Other Interests :

 

Note : Animals will not be taken in any specific order, but at random as they present themselves

Catering : So That our Kitchen and Household Staff can make Your stay Enjoyable, Please Tell us :
........Food Preferences :
Food Allergies/Dislikes :
Do You Require a low - salt or other Special Diet? ..... Yes No
----------------Details :.
Beverage Preferences : --- Beer --- Wine --- Spirits

Please tell us about your health
..............................................Allergies :
..................Special Medical Conditions : x
Special Medications you may be taking :
Bloodtype : ...............A Are you a Diabetic? Yes No

Indemnity:

I, The undersigned, do hereby indemnify the members and staff of GLOBAL SAFARIS and any and all of its associate companies, organizations, or persons acting for , or on its behalf, against any loss or damage, whether it is caused directly or indirectly by delays, sickness, injury, death, or loss or damage to property, whether occurred by negligence or not, or any expenses arising there from, which I may suffer while with GLOBAL SAFARIS or while under its control or custody.

I agree to abide to the decision of my Professional Hunter to take down any trophy with his weapon, that I have shot at; if in his descretion, the animal holds a threat to human life or needs to be put out of misery. I agree to pay all costs in full, that are incurred, before termination of the hunt, which may arise from my Professional Hunter taking down these wounded or life threatening animals. I also agree that photographs taken during the safari may be used for promotion and/ or publicity purposes by GLOBAL SAFARIS.

This indemnity is binding to the laws of the country of the client, as well as the country of the outfitter. I specifically submit myself to the jurisdiction of any competent South African Court of Law for any cause of action.
 

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