Please print this form, complete and fax to +2786 617 2537. | Reservation Details Personal Details (Fax to: +2786 617 2537) | | NAME & SURNAME : | | | ID NR : | | | POSTAL ADDRESS : | | | CODE: | | | TEL NR: | | CELL NR: | | | FAX NR: | | E-MAIL : | | | | | HOW MANY HUNTERS : | | Number of ADULTS | | @ | R684-00 per person per day (including VAT) (R100 guide fee inclusive) | R | | Number of CHILDREN (2 – 10): | | @ | R456-00 per person per day (including VAT) | R | | AMOUNT NON HUNTERS : | | Number of ADULTS | | @ | R570-00 per person per day (including VAT) | R | | Number of CHILDREN (2 – 10): | | @ | R342-00 per person per day (including VAT) | R | | TOTAL (VAT including) | R | | TOTAL AMOUNT of deposit attached or deposited ( Attached proof of payment) | R | | TOTAL AMOUNT OUTSTANDING | R | | WHICH SPECIES ARE YOU INTERESTED IN. | | | DATE OF ARRIVAL : | DATE OF DEPARTURE: | | NB: The total amount of day fees are payable in advance and will confirm the reservation. This amount is non refundable. The reservation will be confirmed when payment as stipulated has been received. Latest date for paying deposits will be 31 May of year in which the hunt is booked for. | | BANK DETAILS FOR DIRECT PAYMENTS AND INTERNET TRANSFERS : | | BANK: | First National Bank | ACCOUNT NAME: | Mount Hope Private Game Reserve (Pty) Ltd | | CURRENT ACC | ACC NR : 62131096879 | BRANCH : CENTURION | BRANCH CODE : 261 550 | REFERENCE : (Name) …………………………. | | Cheques to be made out to : | Mount Hope Private Game Reserve (Pty) Ltd | | FAX PROOF OF PAYMENT TO | +2786 617 2537 | Cheques to be posted to : | Postnet Suite 67 Private Bag X37 Lynnwood Ridge 0040 | | | | | | | | | | | | | | | |
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