* Name
Email
* Phone
Your Address
Arrival Date
Departure Date
How many per sharing
How many Children / sharing with adults
Prefered themed room -Select- Elephant Giraffe Buffalo Leopard Rhino Zebra
Menu requirements No special requirements Vegetarian Kosher Halaal
Do you require chauffer services No Yes
Would you like to go on a guided tour No Yes Not sure
Method of payment
Extra information you wish to add
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For further information, contact your host Johan Van Der Walt on:

Cell:		(+27)825589086
Tel:		(+27)169822782
Fax:		(+27) 86 628 4737
Address:		7 Groendoring Street Vanderbijlpark 1911
Postal Address:		P.O. Box 2422 Vanderbijlpark  1900
		South Africa