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Tel: +27 11 476 4143
Fax: 086 540 1219
Cell: +27 83 299 4321
E-mail: INFO@MOZAMBIQUEISLANDS.COM

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Resort/Hotel
Number of Adults
Number of Children
Please provide ages of children at time of travel:
Number of nights
Date of Travel
Return Date
Package
Fly-in
Self-drive
With return flights and/or transfers from
Comments/ Special Requests(Please advise if this holiday is for a special occasion)

If possible, please also advise the approx. amount you wish to spend per person

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Surname
Nationality
Tel
Fax
Cell
E-mail Address

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