Name: ............................................ Surname...................................................
Address:............................................................................................................
.........................................................................................................................
Tel:................................ Fax:................................. Mob:...............................
Date from:......../......../20........ Date to:........./........./20........
Accommodation: Cabin: ......... Bush Camp: ........ Camping: ........
Persons: Adults: .............. Children: ...............
Signature: ........................................ Date: ..............................................
All bookings confirmed only on the receiving of a 50% Deposit: R....................
Date deposit paid: ...............................
| OFFICE USE ONLY: Accommodation: R................................. Deposit Paid: -R................................. Extras (Wood & Ice) R................................. Amount due: R................................. |