Personal Details
(Fax to: 086 617 2537)

NAME & SURNAME :

ID NR :

POSTAL ADDRESS :

CODE:

TEL NR:

CELL  NR:

FAX NR:

E-MAIL :

HOW MANY HUNTERS :

Number of ADULTS

@

R684-00 pppd (including VAT)
(R100 guide fee inclusive)

R

Number of CHILDREN  (2 – 10):

@

R399-00 pppd (including VAT)

R

HOW MANY NON HUNTERS :

Number of ADULTS

@

R570-00 pppd (including VAT)

R

Number of CHILDREN  (2 – 10):

@

R285-00 pppd (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:

FNB Private Clients

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

086 617 2537

Cheques to be posted to :

PO Box 157, Cornwall Hill, 0178
South Africa