Namibia Freeland Tours and Hunting Safaris

Information Request Form

Please complete the form below: We will treat all information as confidential. a Non-refundable deposit of 50% is required with reservation, without which no reservation will be accepted. The balance is due on day of arrival. Confirmation will be forwarded to your booking agent or e-mailed to you when using this direct booking facility.

Name				Surname
Tel:				Fax:
e-mail:
I am interested in the following:
Number of persons
Couples				Single
Arrival date				Departure Date
I Want to choose my own routes, Specify below......
*Specify your own route, or any special requests in the box below.....*

*Contact Info:*	*For All Tours, safaris and adventure Safari's*
*Name*	*Arno Meyer*	Dirk Coetzee	Hildegard Lombard
*e-mail:*	mission@iway.na	dirkc@mweb.com.na	hildegardlombard@hotmail.com
*Tel: (cell)*	+264 (0)81 127 0728	+264 (0)81 300 9321	+264 (0)81 127 5522

*Hunting Safari's*
*Tertius Meyer*
tertiusmey@hotmail.com
+264 (0)81 237 6713