First name                                                             

Second name                            

Email Address                          

Desired date of arrival               1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st Jan Feb March April May June July Aug Sept Oct Nov Dec 2008 2009 2010      

Desired length of stay                days

Number of guests                                 

Room type required                   Double ensuite Dorm bed Single Room

Dietary requirements                 Vegetarian      Fish/no meat

Are you also interested in diving?                yes no

Are you interested in any of the following day trips?

Snorkeling at Misali Island     Cycling      Ngezi rain forest tour

Kayaking in the mangroves

Any other requests/comments