Waterbok Guest Homes (Pty) Ltd

Application for Accomodation

Contracting Party

(Person resposible for the group and the account)
* Surname:     * First name:     * Initials:  
* E-mail address:  
º ID number:   º Passport number:   ←↓* At least one of each

* Residential address:

Postal address:

º Telephone (home):
º Telephone (work):
º Mobile phone:
Fax:




I have read the Conditions of Stay document and declare that I understand and accept the conditions: 
All Guests
Surname: First name: Initials: ID / passport number: Shared room: cbx Adult: cbx
Lodging information
* Date of arrival:  (Arrival after 13:00) * Date of departure:  (Departure before 10:00)
Nights:   Guests:   Rooms with 2 persons:   Rooms with 1 person:  
Living units: 1-Bedroom units:   2-Bedroom units:  
Available rates: Per person per day: Per unit per day :
Deposit and balance on arrival: (Only for more than 2 nights, fully paid with reservation)
Fully paid with reservation: 1-Bedroom units:  2-Bedroom units: 
More than 1 room with 1 person additional charge.
Number of breakfasts: R per breakfast: Sets of linen required: R per set:
Finances
(Rates are applied according to the chosen method of pay.)
Source: Method of pay:     (select) Amount: (R)   Rate per day: Based on:
Accomodation : Fully with reservation:     R Persons   Living units
More than 1 room with 1 person: Fully with reservation:
Linen : Fully with reservation:
Breakfasts : Fully with reservation:
Total :
Deposit : (Due with reservation)
Balance : (Due on arrival)
   

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