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Please print this form and fax it to:

Alan Simmons by dialing country code +64 7 386 7576 or if in NZ dial 07 386 7576

Or you can post to:
Alan Simmons, Wildlife Safaris, Ltd., 48 Gosling Grove, Turangi, New Zealand
Ph. +64 7 386 7576


Are you able to accommodate me on or about dates of

................................................................................................................

My name and address is as follows. Please contact me.

Name ..................................................................................................

Address ..................................................................................................

..................................................................................................................

...................................................................................................................

Country...................................................Post code...................................

Fax....................................................... Phone .......................................

MESSAGE:




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