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(Red ink displays most prominent on faxes)
I, .................................................................... (please print)
authorise Knysna Terrace to charge my credit card
Type of card: [Master Card / Visa / American Express / Diners Club]
Number: ............................................................................
Expiry date: ........../........... Last 3 digits on reverse of card: .................
ID/Passport number: .............................. Nationality: .............................
Arrival date: ........./.........../200..... Arrival time: ...........am / pm
Departure date: ........./.........../200..... Departure time: ..........am / pm
Room type: [ Deluxe Room / Superior Room / Standard Room ] Number of rooms: ....
Number of adults: ..... Number of children: ..... Child ages: ................
Please list all the other names in your party here:
........................................................................................................................................................
........................................................................................................................................................
........................................................................................................................................................
........................................................................................................................................................
Telephone: ................................. (B) .................................. (H)
.................................C/M) Email: .................................
for the amount of R ........................ (South African Rand) for my reservation, (50% deposit required to secure booking - Full payment required 4 weeks before arrival)
Signed: .................................................. (Credit Card Holder)
Date: ........./............./2005
Please return the completed form to one of the contacts below
Télécopie: 0866 400 037 - South Africa (+27 11 507 5045)
Email: info@knysnaterrace.co.za
Cancellation fees
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14 days
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1 day or no show
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50%
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100%
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