African DX Safaris Tour Estimate Enquiry

African DX Safaris
Tour Estimate Enquiry Form

NOTE: Items marked with a * are required.

Please complete this form for a tour estimate. For all other tour enquiries, click here.

Your Name: *
First: Surname:

Your Callsign:
(If you are a ham radio operator)

Your E-mail Address: *

Please Confirm Your E-mail Address: *
(To ensure e-mail address supplied is correct, re-type your e-mail address)

Countries you wish to visit: *
Botswana Lesotho Mozambique Namibia South Africa Swaziland
Other: (Please specify)

Estimated date of arrival: *

Estimated date of departure: *

Number of Travelers: *
Adult(s) Child(ren) under 18

Anything specific you would like me to include in the trip:

Only answer the questions in this section if you are a ham radio operator.

How many days to operate radio:
day(s)

Which bands do you anticipate operating:
10m 12m 15m 17m 20m 30m 40m 80m 160m All Bands

How many days to do sightseeing:
day(s)

Comments: