Comments or questions are welcome. * indicates required field Title Mr Mrs Miss Name:* Email:* Country of Origin/Nationality Destination Uganda Rwanda Congo Kenya Tanzania Interests Wildlife Viewing Birding Gorilla Tracking Primate Tour Cultural Tour Whitewater Rafting Mountaineering Golfing Honeymoon Cycling Tours Biking Tours Arrival Date Departure Date Number of Days on Safari Number of People Budget indication (per person) US$ 0-1,000 US$ 1,000-2,000 US$ 2,000-3,000 US$ 3,000-4,000 US$ 4,000 and more Not necessary Accommodation Budget Middle Class Luxury Additional Comments
