Name: Surname:
ID No:
Cell Phone: Email:
No. of adult guests:
No. of children aged from 0 - 3:
No. of children aged from 4 - 11:
No. of nights booked in for: Breakfast available on request
Dates from: Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2011 2012
Dates to: Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2011 2012
Accommodation: Select One Chalet 1 - Sleeps 6, 1 double bed, en-suite bathroom (bath), 2 single beds, en-suite bathroom (shower), bunker bed, lounge & kitchen Chalet 2 - Sleeps 6, 1 double bed, en-suite bathroom (bath), 2 single beds, en-suite bathroom (shower), 2 single beds, lounge & kitchen Chalet 3 - Sleeps 6, 1 double bed, en-suite bathroom (bath), 1 double bed, en-suite bathroom (shower), bunker bed, lounge & kitchen Chalet 5 - Sleeps 2, 2 single beds, en-suite bathroom (shower), share outside kitchen Chalet 6 - Sleeps 2, 2 single beds, en-suite bathroom (shower), share outside kitchen
How did you find out about us: Select One Returning guest From a family member / friend Google Ananzi Yahoo MSN Other
Any Additional Questions:
Anita van Wyk
