de Kuilen Country House - 5 star luxury


Booking Form  
Please complete the form, print it out, sign and
 and fax to us on (+27) 11 462-6819                    
or

de Kuilen is currently undergoing an annual
renewal for it's 5 star grading by the
Tourism Grading Council of South Africa
 

Personal Details

 

Name:

Address:

 

Country:

Telephone:

Fax:

Email:


Please attach a photocopy of your passport and credit card if at all possible. Thankyou.
 

Accommodation Details

Payment Details

 

Rates are per person, per night sharing, unless stated. Longer stays are usually charged at lower rates.

Cottage:

Card Type

No Persons:

Expiry Date:

No of Bedrooms:

Card number:

Arrival Date:

C.V.V:
 (Last 3 digits on back)

Departure Date:

 

I instruct De Kuilen Country House to charge my above account with the amount of the 100% deposit including 14 % VAT:

 

Card Holder's Signature:     ____________________________________

 

 

Direct Deposit

A deposit at the time of your booking is required as confirmation of your reservation. 
The preferred form of payment is by credit card.

Airport Transfer

R380 minimum for 1-2 persons and R50 per additional person, per trip, in a luxurious BMW, or similar.

Deposit Refund


Early departures lose 100% deposit and are payable in full as booked.

Date:

 

Airline:

Arrival time:

 

Flight number:

 

 

 

Airport Transfer required?

 

 
     

  

Tel: +27 (0) 11 462-4670    Fax:+27 (0) 11 462-6819   Mobile:+27 (0) 83 769-2960 

Email: mwkuilen@mweb.co.za

 26 Glenluce Drive, off Leslie Avenue (West), Douglasdale, Sandton, Johannesburg, South Africa

We look forward to your stay