BOOKING FORM

To receive a prompt response, please complete the below form in all. Fields marked with an asterisk (*) are mandatory
| Booking * : |  |
Individual | Group |
| Group / Company Name : |  |
| Last Name / Group contact * : |  |
| Adress : |  |
| Zip / Postal Code : |  |
| City * : |  |
| Country * : |  |
| Telephone * : |  |
| Fax : |  |
| E-mail* : |  |
| Excursions * : |  |
MOUNTAIN BIKING | LAGOON SAILING |
| Tours * : |  |
SENOUFO | YACOUBA | ADVENTURE
BETE | AGNI |
| Number of Persons : |  | Adult(s) Children (ages 6 - 16)
| Preferred Dates : |  |
| Message : |  |