Jan Oelofse Safaris
Inquiry Form
 Let us assist you in all of your hunting and safari needs.

So that we may better assist you, please take a moment and fill out this form. 
All information is of course, strictly confidential. 
Thanks for your interest in Jan Oelofse Safaris.
We look forward to serving you.

General Information:

Your Name:
Address:
Address:
City, State, Zip:
Country:
Phone:
Fax:
Email:
Occupation:
Business Address:
Business Address:
City, State, Zip:
Business Phone:

Would you prefer we contact you at your 
             Home Address or at your  Business Address
Preferred Hunting Dates:

Desired Hunts,  in order of priority

Special Interest:
Trophy Records Photographic Tour
Wildlife Observation Sightseeing
Plains Game Observers

Do you need firearms or ammunition?  yes    no

  Food Preferences
Preferences/Dislikes?
Allergies?
Medical History


Do you have any medical problems or allergies?
How do you regard your fitness?
Birth Date:

  Taxidermy

Do You Require us to organize one?  Yes 

Your Taxidermist: Name
  Address
  Contact Details
Itinerary
Time and Place of Arrival :
Date:
Flight number:
Time & Place of Departure:  
Date:
Flight number:
Comments: