Hibberdene Unit 10
Personal Information
Full Name and Surname:
Physical Adress:
Postal Adress:
ID Number:
Contact Telephone: (W)
Contact Telephone: (H)
Cellphone Number:
Alternative Telephone Number:
Fax Number:
Email Adress:
In case of emergency:
Vehicle Reg Nr:
How many Occupants: Adults
Children
Arrival Date:
Departure Date:
How many days:
Do you want DSTV? (R30 p/d extra)
Deposit payable	50% Deposit Payable within 1 week after booking and balance 2 weeks prior to arrival.
Key & Security Deposit Payable (Refundable)	R500.00 (payable when balance of booking is paid 2 weeks prior to arrival)
Date:
Signed: