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Information Request Form
If you would like more information on our tours and airfares to Africa, please complete the information below and submit it. We will contact you as soon as possible.
*Name:
*Email:
Address:
City:   State:   Zip:
Country:
Telephone:
Please explain the nature of your inquiry:
Is this the first time traveling to Africa?   Yes No
How many people in your party?    Adults:
Childern (under 12):
Month and year in which you wish to travel:

Approximate budget per person 
(Excluding international airfares) 
Under $ 3000
$3000 - $5000
$5000 - $7500
$7500 - $10,000
Over $10,000
 
 
Which countries do you plan to visit?
  Kenya   Zimbabwe
  South Africa   Namibia
  Tanzania   Botswana
  Uganda   Rwanda
Indian Ocean Islands:   Malawi
  Mauritius   Seychelles
.
How did you hear about Premier Tours?
  Advertisement   Recommendation
  On the Internet   Travel Agent
  Other Which Publication?
Would you like us to include you on our email list, and notify you about updated information and exciting offers? Yes No
   
  * Denotes a required field.   
 
Premier Tours • 21 S. 12th Street, 9th Floor, Philadelphia PA 19107-3609 • 800.545.1910 • info@premiertours.com
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