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Please note that this is only a request form. It does not guarantee a reservation. We will try our best to meet your request and will reply / confirm as soon as possible.
Please supply the following information.

First Name
Last Name
Address
Country
International Dialing Code
Telephone Code
Telephone
Fax
Cellphone
Email
Arrival Date
Departure Date
Number of Nights
Number of Adults
   
Special requirements
 


If you would prefer to Email this form, print out the form by pressing the "Print Form" button and then Email it to us at wederom@myisp.co.za