Bookings
Name & Surname:
Contact E-mail:
Contact Tel: (code+No)
:
Please specify the Room:
Emerald Bay C 313
Emerald Bay A 104
First day of your stay:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
January
February
March
April
May
June
July
August
September
October
November
December
2009
2010
2011
2012
2013
2014
2015
Number of days you want to stay:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
21+ Days
Number of Adults:
1
2
3
4
Number of children & Age:
0
1
2
Any special room requirements:
Banking Details:
Account Name: North Western Ford Account Number: 540 224 81615
Bank: First National Bank Branch: Upington
Branch Code: 230604
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