Reservations Africa cc
Advertising Information Request Form

Name of Company:

Example: Any Company (Pty) Ltd.

Email address:

Website Address:

Example: http://www.anysite/favorite.page

Your Name:

Address:

City:

Telephone (including city code):

Fax (including city code):

Please write your information request here:

If you are happy with the above, please, click on SUBMIT - Should you like to change anything, please, click on CLEAR and complete again.

Reservations Africa cc
447 Fifth Avenue P.O. Box 529
Tsumeb, Namibia
Tel.: (++264-67) 22 2175 *** Fax: (++264-67) 22 0832
e-mail: advertising@resafrica.net

Please complete the form below. Once received we will contact you and varify all details.
Thank you for your request.