Clive Dryden (+27) 82 784 8031
Colin Riley (+27) 82 492 0932

Personalised Designer Tours.
P. O. Box 300 •  Riverclub • 2149
Tel (+27) 11 7839263 • Fax (+27) 11 8846022
info@pdtours.co.za • www.pdtours.co.za

 

Customer Information Questionnaire

Full Name *

Contact Details

Postal Address *

 Zip/Postal Code

Work * (Please give at least one contact number)

Home *

Mobile *

Email *

Trip Details

General Interests please Rate 1-9, where 1 is highest *

Game Viewing

History

Beaches

Beautiful Scenery

Open Spaces
The Battle Fields
Local Culture
Medical
Conferences
Hiking
Other (Please Specify) Rating:
When are you thinking of travelling?
  
If exact dates are known.
From    Till  
Total duration of stay
  Days
Expected number in Party
  People

Please specify the amount of people in each age group

Kids

Teens

20 - 29

30 - 39

40 - 49

50 - 59

60+
Type of accomodation?
Provinces
Province Do you wish to visit Duration (in days) Priority
Gauteng
Mpumalanga
Northern Province
North West Province
Free State
Kwazulu Natal
Northern Cape
Eastern Cape
Western Cape
Specific areas of interest

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