Travel Exclusively African: Request Information

request information

Please complete the following form below for information or you can contact us direct at info@exclusively-african.com

Name:
Address Line 1:
Address Line 2:
Town:
County / State:
Post Code / Zip:
Email Address
Telephone No. (Daytime):
Telephone No. (Evening):
Brief Summary of your Requirements:

I am particularly interested in golf courses in the following areas:
Cape Town	Kimberly	Johannesburg
Port Elizabeth	Durban	Bloemfontein

I am particularly interested in the following additional activites:
Sight Seeing	Historic Sights	Deap Sea Fishing
Shark Diving	Learn to Fly	Beach Activities
Whale Viewing	Hiking	Wine Tours
Family Events	Safari	War Sites
Train Tours	White Water Rafting	Sun City

Your Plans
Are you an individual, group or part of an organisation?
If you are not an individual approximately how many are in your group?
Please provide us with an approximate size of your budget per person excluding (Note that air fares will be itemized separately):
In which month/year do you wish to travel?
Approximately expected duration of your adventure?
If you would like Exclusively African Adventures to keep you informed of special offers and new ideas please tick this box:

Where did you hear or find out about us:
Random Internet search	Golf magazine
Family or friends	Other

To send TEA your request form please press the ‘Submit Your Request’ button. If you have not provided all the necessary information we will tell you. Otherwise please wait for the confirmation message that we have received your details.