Member Booking Request

Unit number

Member name (person visiting)*

Email address*

Member Contact number*

Arrival date & time*

Date of Departure*

Vehicle check & start* YesNo

Instructions / comments

Gas on YesNo

GeyserFridgesFreezers

Solar on YesNo

Beds / Rooms YesNo

Instructions / comments*

Furniture Out YesNo

Instructions / comments*

Blinds YesNo

Cleaning Services (If yes, please select which time slot suits you best)* YesNo

1st choice* 07h4510h0014h15 (weekdays only)

Specify date and your lady of preference

2nd choice 07h4510h0014h15 (weekdays only)

Specify date and your lady of preference

3rd choice* 07h4510h0014h15 (weekdays only)

Specify date and your lady of preference

Other requests / instructions*

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Name *

Surname *

Email *

Contact Number *

Subject *

Message *

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