Reservation Form

Africa Unlimited Safaris
Guided Self-Drive 4WD Safaris and Motorhome Tours

Please fill in this form completely, and be as specific as you can. Items marked with an asterisk (*) are required information. You may also print out our Fax Form and fax it to one of our worldwide offices:

CUSTOMER:
	Mr. Mrs.
*Last Name
*First Name
*Street
*City, State & ZIP/Postal Code
*Country
Tel. (+ area code)
Fax (+ area code)
*E-Mail
PAYMENT:
*Card Type	Your Credit Card:MasterCardVISAAmerican ExpressDiners Club
*Card Holder
*Card Number
*Expiration Date	Month01 Jan02 Feb03 Mar04 Apr05 May06 Jun07 Jul08 Aug09 Sep10 Oct11 Nov12 DecYear2008200920102011201220132014201520162017
This is a legally binding reservation request and I authorize Blue Travel to disclose my personal information to Africa Unlimited Safaris. I give permission for Africa Unlimited Safaris to charge my credit card accordingly with the appropriate costs for all reservations requested herewith. I acknowledge that I am the authorized card holder of this account, have read the Terms and Conditions and agree to abide by them.
RESERVATIONS:
*4WD Safari or Motorhome Tour	Please select your Africa Unlimited Safari---- Guided Self-Drive Motorhome Tours ----20 day South Africa's Best13 day Kruger Park, Swaziland, KwaZulu Natal---- Guided Self-Drive 4WD Safaris ----13 day Botswana, Victoria Falls Safari13 day Namibia, Kaokoveld & Damaraland Safari13 day Namibia & Victoria Falls Safari
*Departure Date	Day12345678910111213141516171819202122232425262728293031 MonthJanFebMarAprMayJunJulAugSepOctNovDec Year2008
*Vehicle Type	Please select your favorite vehicleMAUI Spirit 3 MotorhomeMAUI Spirit 5 Lux MotorhomeBRITZ 4WD SafariBRITZ 4WD NomadBRITZ 4WD Bushcamper
*No. of People	12345
ADDITIONAL COMMENTS:
To make a reservation please click on the Send Reservation button above. THANK YOU for your business!

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