African Plains Safaris

S.W.Pienaar African Plains Safaris cc P.O. Box 717 Gobabis Namibia	Tel: 00264 62 568412 Fax: 00264 62 568512 Cell: 00264 81 149 1070 E-mail: safaris@namibia-online.net

Dear Client Thank you for booking with African Plains Safaris. The following questions are designed to provide us with information to make your hunt more successful and enjoyable, so please take time and answer the questions.
Personal Details
Full Name
Address
Telephone	(H) (W) (Fax)
E-mail
Date of Birth
Physical Condition	Excellent	Good	Fair	Wrecked
Diet restrictions:
Favorite Drink:	Alcoholic:
	Non-alcoholic:
Occupation:
Name and contact details in case of Emergency:
Hunting Weapon
Hunting weapon of choice:	Rifle/Bow:
Rifle Details:	Caliber		Make
	Serial no		Scope
Effective Shooting Range:
Previous Experience
Any previous African hunting experience:
Where and when:
Any further information / requests you want to give: