Company Profile

Name of company:

Contact name*:(required)

Position

Address

City

Post Code/Zip

Country

E-mail*:(required)

Phone*:(required)

Fax:

End user/group
name

Type of industry:

Group Profile

Type of group:

Incentive
Conference
Special Interest
Other

Dates*:(required)

until the

Duration/no. of nights*:(required)

Number of Delegates*:(required)

Preliminary Programme if known

Details of Group Members

Average age:

Number of:

Males Females

Positions: (if relevant)

Previous destinations:

Delegates originating from:

Remarks:

Activities

Safari Beach Climbing Sports

Hiking Team Building Soft-Adventure

Selections from the Activities page

Conference/Meeting Requirements

Sessions required:

Half-Day Full Day

No. of delegates:

No. of rooms for each session:

Main Break-out

Main room for:

Delegates (no.)

Break-out rooms for:

Delegates (no.)

Equipment Required:

Accommodation

Preferred Hotels (if known)

Type of accommodation:

4 - Star 5 - Star Gold Star Luxury Tented

Type & number of rooms:

Single

Double

Twin

Other Services

Cocktail party:

Welcome Farewell Others

Bush Lunch

Bush dinner

Sundowner

Any other comments