Hibberdene
Unit 10 |
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Personal Information |
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Full Name and
Surname: |
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Physical
Adress: |
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Postal Adress: |
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ID Number: |
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Contact
Telephone: (W) |
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Contact
Telephone: (H) |
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Cellphone
Number: |
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Alternative
Telephone Number: |
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Fax Number: |
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Email Adress: |
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In case of
emergency: |
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Vehicle Reg
Nr: |
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How many
Occupants: Adults |
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Children |
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Arrival Date: |
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Departure
Date: |
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How many days: |
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Do you want
DSTV? (R30 p/d extra) |
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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) |
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Date: |
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Signed: |
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