Tel: +264 (0)64 – 461781 Fax: +264 (0)64 – 462901
E-mail: m4swakop@mweb.com.na
WEBSITE: www.mile4swkp.com
BOOKING INFORMATION REQUEST:
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Personal Details:
Surname: ____________________ First
Name: __________________ Title:
_____
Company: ____________________
ID / Passport: ____________________ Nationality:
__________________
Address Details Contact
Details
Postal box _____________________ Telephone (work) _____________________
City _____________________ Telephone (Fax) _____________________
Area _____________________ Cell phone _____________________
Country _____________________ E-mail _____________________
Code _____________________
Booking Details
Arrival Date: _____________________ Departure
Date:_____________________
Adults: ____ Children:
(3 - 16)____ Children
under 3 yrs: ____
Type of
Accommodation:
(Please Tick applicable)
Camping:
Plain site ____ Site with electrical
Point____ Cluster
____
Back packer Rooms ____
Bungalows:
Standard
Bungalow ____ VIP Bungalow____ Luxury
Flat____