| Title: |
|
| Initials: |
|
| Surname: |
|
| Please
tell us how to get in touch with you: |
| Postal
Address: |
|
| Postal
Code/ Zip Code: |
|
| Tel: |
|
| Cell: |
|
| Fax: |
|
| E-Mail
Address: |
|
| Booking
dates: |
| Date
of arrival: |
|
| Date
of departure: |
|
| Total
of nights spent at Constantia Guest Lodge: |
|
| Room/s
preferred: |
Room/s |
| Number
of: |
Adults:
Children: |
| Age
of children: |
1st
Child
2nd Child
3rd Child |
| Any
special requirements (dietary etc.) or comments: |
|
Payment
details (Please select one of the following)
Payment due once booking has been confirmed by us |
Credit Card
|
Bank transfer
| Account
Name |
Constantia
Guest Lodge |
| Bank |
Standard
Bank
Lynnwood Ridge, PTA, SA |
| Branch
No. |
01-2445-15 |
| Account
No. |
0122
11079 |
|
|
|
|
For any
other enquiries, please e-mail us at: rosi@constantialodge.co.za
|