Plan your Safari

*Please complete and submit the request form. Then you will be redirected to schedule your consultation.

🧾 Section 1: Contact Information

First Name *

Last Name *

Email *

Phone *

✈️Section 2: Travel Details

Ideal Month/Year of Travel: *

Are Your Travel Dates Flexible? *

YES

NO

Desired Length of Trip *

Dropdown

7 days
10 days
12–14 days
14+ days
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Total Number of Travelers *

num-travelers

Please list the ages of all travelers *

Is this a special occasion?

Are you reponding to a promotion (i.e. social media, email, ad)?

🧳 Section 3: Travel Style

What type of experience are you most interested in?

Cultural Immersion

Wildlife Safari

Luxury & Relaxation

Historical & Educational

Adventure/Active

Wellness & Rejuvenation

Preferred Accommodation Style

Luxury Lodge

Boutique Camps

Glamping (Luxury Tents)

Mid-range Comfort

Mix of styles

Preferred Activity Level

Easy (game drives, leisure walks)

Moderate (some hiking, long drives)

Active (trekking, early mornings, full days)

💰 Section 4: Budget & Logistics

Which airport(s) will you be flying from?

Would you like help booking your international flights? *

YES

NO

Estimated Budget Per Person (Excluding Flights)

Under $5,000
$5,000–$8,000
$8,000–$12,000
$12,000+
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Would you like to add a beach extension (e.g. Zanzibar)?

YES

NO

🎭 Section 5: Culture & Heritage

Are you interested in any of the following cultural experiences?

Indigenous Tribe Visits (e.g. Maasai, Haadzabe)

Food & Spice Tours

Music, Dance & Storytelling

African Art, Crafts & Textiles

Genealogy or Ancestry Travel

Do you have East African heritage you’d like to explore?

🥗 Section 6: Health & Wellness

Do you have any dietary preferences or restrictions?

Do you have any health or mobility needs we should be aware of?

💬 Section 7: Personal Insights

What’s one thing you must experience on this trip?

How do you want to feel when you return from this journey(e.g., Inspired, Rejuvenated, Connected, Empowered)?

📝 Section 8: Anything Else?

Is there anything else you'd like to share to help us personalize your safari adventure?

Anything Else?

Travel Protection

We highly recommended that you purchase travel insurance to protect your travel investment.

Would you like a Quote for Travel Insurance?

YES

NO

DECIDE LATER

*Upon Submit, you will be redirected to the scheduler.

Summerville, SC 29483

agent@cillatravel.com

1(855)785-5160 | 1(843)593-8474

Live the Dream!

Cilla Travel LLC

www.cillatravel.com

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