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MADELEIN EN BRIAN VAN ZYL
TEL. +27 (0) 82 329 0217 / +27 (0)82 619 1944 / Email:
madeleinvanzyl9@gmail.com
Please complete this reservation form and click "submit".
If required you can call us on
+27 (0) 82 329 0217 / +27 (0) 82 619 1944
or complete this form.
We will reply as soon as possible to confirm if accommodation is available.
Please provide the following contact information:
Name & Surname
Phone
Fax
E-mail
Information on length of stay:
Arrival
Day
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Month
January
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April
May
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July
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September
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November
December
2012
2013
2014
2015
Departure
Day
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30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
2012
2013
2014
2015
Information on the room/rooms you require:
Number of rooms required
1
2
3
4
5
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10
Number of adults
Number of children
Children's ages
(seperate with a comma)
Special Requests
