Personal Detail:    
     
Title : Mr Mrs Miss
Name & Surname :
Street Address :
City :
Country :
Phone :
Fax :
Email :
       
Validity Period
1 Oct-31 May 11
1 Jun- 30 Sep 11
1 Oct-31 May 12
Superior Room
R 1705
R 1320
R 1705
Deluxe Room
R 2145
R 1320
R 2145
King Suite
R 3295
R 1485
R 3295
 
     
Accommodation Detail:
     
Arrival Date : (DD/MM/YYYY)
Departure Date : (DD/MM/YYYY)
Number of Adults :
Number of Children under 12 :
Type and no of Rooms required :
King Suite no
   
Deluxe Room no
   
Superior Room no
Special Requests :
     
   
Click here for Terms & Conditions    
 
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