Registration form

AIRD COUNTRY HOUSE

BANK DETAILS:
ABSA
4047196658
630125
NAME:

SURNAME:

ADDRESS:

TELEPHONE: FAX:
DATE FROM:
DATE TO:
BED BREAKFAST SELF CATERING
CARAVAN CAMPING

NUMBER OF ADULTS:

NUMBER OF CHILDREN:

DEPOSIT: 50% 100%

PAYMENT METHOD: DEPOSIT CASH CREDIT CARD
Do you require meals: yes no
Evening meal, requirements:
SIGNATURE:
(The deposit is non refundable, if you do not cancell within 48 hours.)