ENQUIRY / BOOKING FORM
Please provide the following contact information:
Title Select Mr. Mnr. Mrs. Mev. Miss. Ms. Dr. Prof. Name Street/Postal address Address (cont.) City/Town State/Province Zip/Postal code Country Select Country Afghanistan Albania Algeria American Samoa Andorra Angola Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Bermuda Bhutan Bolivia Bosnia-Herzegovina Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Chad Chile China Colombia Comoros Congo Costa Rica Cote dIvoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Polynesia Gabon Gambia Germany Ghana Greece Greenland Grenada Grenadines Guam Guatemala Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts Saint Lucia Saint Vincent San Marino Sao Tome Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia South Africa South Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Western Samoa Yemen Yugoslavia Zambia Zimbabwe Day Phone (Incl Code (Important) Fax (Incl Code) E-mail Mobile Phone Extra information
Dates required for Accommodation
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2005 2006 2007 2008 2009 2010 to 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2005 2006 2007 2008 2009 2010
Category of Accommodation required
Affordable
Upmarket
Luxury
VIP
ADULTS IN GROUP Number of Couples 0 1 (2 people) 2 (4 people) 3 (6 people) 4 (8 people) 5 (10 people) Number of Singles 0 1 Person 2 People 3 People 4 People 5 People 6 People 7 People 8 People CHILDREN IN GROUP Number of Infants Ages up to 2 yrs 0 1 Infant 2 Infants 3 Infants 4 Infants 5 Infants 6 Infants Number of Children Ages 2-12 0 1 Child 2 Children 3 Children 4 Children 5 Children 6 Children 7 Children 8 Children 9 Children 10 Children PLEASE CONFIRM TOTAL OF PERSONS IN PARTY . 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 18 16 17 19 20 Area Required (if known) Type of Accommodation . House Apartment Guest House Bed and Breakfast Garden Flat Unsure Bedrooms Required 1 2 3 4 56 Bathrooms Required 1 2 3 4 Please choose from the following options: Pool essential yes no View essential yes no Garden essential yes no Parking essential yes no Beachfront essential yes no Car Hire required Tours required How will you be arriving in Cape Town? Arrival by Air Flights confirmed yes no Arrival by Road Arrival by Sea Where did you hear about us?? . Captour Getaway Magazine Internet Browsing Local Magazine Personal Referral The Rough Guide Yellow Pages Other Is there anything else you feel we should know to enable us to help you? THANK YOU FOR YOUR VALUED ENQUIRY / BOOKING WE WILL REPLY TO YOU AS SOON AS POSSIBLE
ADULTS IN GROUP
CHILDREN IN GROUP
PLEASE CONFIRM TOTAL OF PERSONS IN PARTY . 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 18 16 17 19 20
Area Required (if known)
Type of Accommodation . House Apartment Guest House Bed and Breakfast Garden Flat Unsure
Bedrooms Required 1 2 3 4 56
Bathrooms Required 1 2 3 4
Please choose from the following options:
How will you be arriving in Cape Town?
Arrival by Air Flights confirmed yes no
Arrival by Road Arrival by Sea
Where did you hear about us?? . Captour Getaway Magazine Internet Browsing Local Magazine Personal Referral The Rough Guide Yellow Pages Other
Is there anything else you feel we should know to enable us to help you?
THANK YOU FOR YOUR VALUED ENQUIRY / BOOKING
WE WILL REPLY TO YOU AS SOON AS POSSIBLE