SOUTH  AFRICA  MEETING 2008

4th to 8th March, 2008

Registration Form
 
 
Please complete the following as applicable:

1. Name of participants (s)
TITLE FIRST NAME LAST NAME
     
     

2. Main contact details
NAME  
POSTAL ADDRESS  
   
   
PHONE  
E-MAIL  
FAX  

3. Planned arrival details (to be confirmed prior to arrival)
DATE Commercial/Private flight Flight/Call sign Location;
       
       

4. I am interested in staying at Phinda Game Reserve* for 7 nights ?( ) 3 nights ?( )
(* see information at Phinda Nature Reserve Site)

Signed:____________________________Date__________

Please complete the registration form and send it either via e-mail or fax to Leony Hoogland (AfrikaOnline): reizen@AfrikaOnline.nl
Fax: 0027 21 85 55 691.

9/6/2008