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Name (required) Address (required) Telephone Number (required)                      Fax Number Mobile no (required ) Email address Number of Adults Number of Children (under 12) Number of Children (12 to 18) Number of rooms required Dinner on request - number of days Additional information Arrival Date 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 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2010 2011 2012 2013 2014     Number of Days 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20     Departure Date 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 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2010 2011 2012 2013 2014 A deposit of 50% is required and booking will only be confirmed once a copy of the deposit slip has been emailed to us at capeflame@telkomsa.net or faxed through to 041-583 1296. Balance of payment is required on departure. A cancellation fee of 50% will be charged on cancellation of booking at within 7 days of anticipated date of arrival. Therefore, a late cancellation of less than 7 days from arrival will result in the full room rate being charged. VAT Number: 4320206305 Banking Details Will be supplied on request. Where did you hear about Cape Flame Guest House? If websites, please mention which website:

Port Elizabeth, South Africa

(+27)

Tel : 041-583-3666

Fax : 041-583-1561

Cell : 084-283-5501

Email : capeflame@telkomsa.net

Website: www.capeflame.co.za