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Accommodation Booking Request
Day Bush Spa Booking Request
Please completed the form below and we will contact you to confirm your booking.
Looking forward to seeing you at Ezingweni Safari Lodge and Day Bush Spa.

Personal Details

Last Name *
First Name *
Home Tel Please add international dialling codes
Work Tel Please add international dialling codes
Cell phone Please add international dialling codes
Email Address *
Postal Address
Physical Address

Spa Treatment Requirements

Preferred Date

*
 
Treatments Required
(Please refer to Full Price List for more detail)
 
Special Requests

Additional Comments / Requests

I confirm all details above are correct

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