Last Name:
*
First Name:
Address:
City:
Province:
Country:
Post Code/ Zip:
E-Mail:
*
Tel:
Fax:
Tel (work):
Cellphone:
Number of
Adults:
Children:
Children < 10:
*
Self Catering
Lodge Accommodation
Arrival Date:
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Departure Date:
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Further Information
- Include any relevant or special requests
(who referred you to Penwarn?)
We look forward to making your break at Penwarn Country Lodge a memorable one!
* denotes compulsory fields
Peter and Barbara Dommett
Tel
: +27 (0) 33 7011 368 or +27 (0) 33 7011 651
Cell
: +27 (0) 82 773 9923
P.O. Box 562, Underberg, 3257, South Africa
E-mail
:
info@penwarn.com
or
pdommett@mweb.co.za
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