1. Personal Details

Full Name:

Email Address:

Phone Number (with country code):

Preferred Contact Method:

EmailPhoneWhatsapp

2. Travel Preferences

Desired Travel Dates:

Duration of Safari (days):

Number of Travelers:

Type of Group:

SoloCoupleFamilyFriendsCorporate

3. Safari Style

Preferred Safari Type:

Wildlife SafariCultural ExperienceBirdwatchingLuxury Retreat

Accommodation Level:
Ultra LuxurySuper LuxuryLuxury

Interest in Cultural Events or Festivals:
YesNo

If yes, please specify:

4. Destinations of Interest (You may select more than one):

Maasai MaraSamburuLake NakuruAmboseliLamuDianiMalindiMt KenyaOther

If other, please specify:

5. Special Requests

Dietary Requirements:

Accessibility Needs:

Celebrations (e.g., honeymoon, birthday):

Other Custom Requests:

6. Budget Range (USD) Per person per day

$1,800 – $2,300$2,400–$3,100$3,200+

7. Loyalty Program

Are you a member of our Tusafiri Loyalty Program?

YesNo

If yes, please enter your membership ID:

8. How Did You Hear About Us?

ReferralSocial MediaTravel BlogReturning ClientOther

If other, please specify: