Dangerous Game Hunting…
Experience It…!
Red Ivory Hunting Safaris & Safari Lodges
Red Ivory Safaris Client Reservation From
Safari Booking Number:_________________________
The information that you provide on this form will be used by Red Ivory Safaris and its staff to better provide
with your needs and desires. All information contained herein will be kept private and not used in any way
without your express consent.
Personal Information: each person in the group to fill in a form. =
Surname:
Date of birth/age:
Home address:
First names:
Gender:
Work address:
Home Phone:
Cell Number:
Fax Number:
E/mail:
Web Address:
Non Hunting family Members:
Work Phone:
Cell Number:
Fax number:
E/mail
Web Address:
Emergency Information – Next of Kin
Surname:
Home Address:
First Name:
Work Address:
Home Phone:
Cell Phone
Fax Number:
E/mail:
Work Phone:
Cell Phone:
Fax Number:
E/mail:
www.redivorysafaris.com
[email protected]
[email protected]
Mobile: 0027 72 463 5739
Landline: 0027 72 231 0710
Fax line: 0027 51 541 0599
P.O. Box 961
Vryheid
3100
Kwa-Zulu Natal
South-Africa
Red Ivory Hunting Safaris and Safari Lodges
Reg. Nr. ER96/0045-385332284
Vat. Reg: 0029-57-991110
Professional Hunter: 4359/2013
Outfitter: 4625/2013
Since 1996
Dangerous Game Hunting…
Experience It…!
Red Ivory Hunting Safaris & Safari Lodges
Physician Information
Physician’s name:
Office Phone:
Emergency number:
Web Address:
Cell Phone:
Fax Number:
E/mail:
Airline Arrival Information
Airline Departure Information
Airline:
Arrival Date:
Arrival Flight Number:
Airport:
Airline:
Departure Date:
Departure Flight Number:
Airport:
Safari Information
Package Name if applicable:
Species Required
Species Required
1.
6.
2.
7.
3.
8.
4.
9.
5.
10.
CITES: a number of species required CITES import/export permits. Our office will work with you as to ensure all
necessary CITES permits and other permits to be in order.
Firearms Information:
Make:
Calibre:
Serial Number:
Additional Comments:
In the case where the hunter wishes to hire rifles for the hunt, please indicate calibre and ammunition needed
for the purposed hunt in above space provided.
www.redivorysafaris.com
[email protected]
[email protected]
Mobile: 0027 72 463 5739
Landline: 0027 72 231 0710
Fax line: 0027 51 541 0599
P.O. Box 961
Vryheid
3100
Kwa-Zulu Natal
South-Africa
Red Ivory Hunting Safaris and Safari Lodges
Reg. Nr. ER96/0045-385332284
Vat. Reg: 0029-57-991110
Professional Hunter: 4359/2013
Outfitter: 4625/2013
Since 1996
Dangerous Game Hunting…
Experience It…!
Red Ivory Hunting Safaris & Safari Lodges
Bow Information
Make/Model
Poundage
Draw length
String Length
Cable Length
Shaft Size
Broad head info
Additional comments:
Health Information:
Allergies:
Special Medications:
Physical Limitations:
Food and cuisine Information
Liquor: preferences/dislikes:
Preferences:
Dislikes:
Other Itinerary Requirements during the Safari
Hotel Requirements:
Transport Requirements:
Other hunting Requests:
Fishing Requests:
Game Park Visits:
Other:
www.redivorysafaris.com
[email protected]
[email protected]
Mobile: 0027 72 463 5739
Landline: 0027 72 231 0710
Fax line: 0027 51 541 0599
P.O. Box 961
Vryheid
3100
Kwa-Zulu Natal
South-Africa
Red Ivory Hunting Safaris and Safari Lodges
Reg. Nr. ER96/0045-385332284
Vat. Reg: 0029-57-991110
Professional Hunter: 4359/2013
Outfitter: 4625/2013
Since 1996
Dangerous Game Hunting…
Experience It…!
Red Ivory Hunting Safaris & Safari Lodges
Special Arrangements
I, the undersigned do hereby indemnify the members and staff of Red Ivory Safaris and its concessions and all
or any of its associate companies, organizations or persons acting for, or on its behalf against any loss or
damage whatsoever caused directly or indirectly by delays, sickness, injury death or loss or damage to property
whether occurred by negligence or not, or any expenses arising there from, which I may suffer while with Red
Ivory Safaris or while under its control or custody. I undertake to abide by the discretion of the Professional
Hunter in those cases where he is of the opinion that our situation is life threatening and steps need to be
taken to ensure that our safety is guaranteed. I undertake to pay any reasonable costs associated with the steps
needed to ensure our personal safety during the hunt should our safety be threatened by a wild animals and
the game owner has to be compensated for the loss of the animal.
Client: ___________________________ Date: ______________________
Outfitter: _________________________ Date: _____________________
www.redivorysafaris.com
[email protected]
[email protected]
Mobile: 0027 72 463 5739
Landline: 0027 72 231 0710
Fax line: 0027 51 541 0599
P.O. Box 961
Vryheid
3100
Kwa-Zulu Natal
South-Africa
Red Ivory Hunting Safaris and Safari Lodges
Reg. Nr. ER96/0045-385332284
Vat. Reg: 0029-57-991110
Professional Hunter: 4359/2013
Outfitter: 4625/2013
Since 1996