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Personal Details
Number of Adults:
Number of children under 10 years:
Client Name:
Contact Number:
E-mail:
*Please enter a valid email address.
Home Address:
Next of Kin Contact Details:
Special Requests (eg diet, health problems etc):
What type of Room do you Require:
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Family Rooms
Single Room
Double Room
Optional Activities (if "Yes", please select from list below):
Select Option...
Included Activities
Optional Activities
List of Activities:
Big Five Game Drive - R350.00
Game Drive - R180
Nyani Cultural Village Experience - R150
Kapama Cheetah Breeding Project - R315
Kapama Cheetah Breeding Project (ROUTE A: Shortened route, lasting 1hour) - R315
Kapama Cheetah Breeding Project (ROUTE B: Extended route, lasting 3 hours) - R340
Micro-light Flight - R480
Kruger National Park Day Trip - R480
Panoramic Route - R480
Travelling details
Arrival Date:
Total Nights at the Lodge:
Departure Date:
Payment Details
Select relevant:
Please Select an Option
50% deposit (balance payable 30 days prior to departure)
100% Full Payment
Bank Deposit (please fax deposit slip)
Cheque
Paid to agent
Credit Card - (please fill in Credit Card details below)
Please Note: A 5% admin fee is applicable on all credit card transactions Please include this amount in the amount to debit.
Card holders Name:
Amount to Debit:
Card Type:
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Visa
Master Card
American Express
Bank Name:
Card Number:
3 Digits on reverse of card:
Expiry Date:
Reservations are confirmed only after receiving the full payment. All bookings must be confirmed via fax or e-mail. A fee of 50% shall be levied if cancellation is 31 - 14 days prior to arrival. A fee of 100% shall be levied if cancellation is 14 days or less prior to arrival. Please read our terms and conditions by clicking on the link below.
I have read and fully understand the
terms and conditions
and accepted them:
Please Select an Option
Yes
No