Full Name
The rates for the Seaside Cottages:
R250-00
per person sharing
R375-00
single
E-mail address
Home Telephone Number
Work Telephone Number
Cellphone Number
Arrival Date (DD/MM/YYYY)
Departure Date (DD/MM/YYYY)
Number of Adults
Number of Children under 12
Credit Card Type
(Visa, Mastercard, etc.)
Credit Card number
Credit Card Expiry Date
(MM/YY)
Amount (in SA Rands)
Comments
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