This form operates as an emailed request to the reservations desk at The Fernery.

Availability needs to be checked & we will respond to your request within 24 hours.

A provisional booking is valid for 48 hours and will be confirmed on receipt of proof of a 50% deposit.

Help

Hover over       for a help pop-up.

Fields marked with an asterisk * are mandatary & must contain a value.

Fields marked with a double asterisk ** are grouped, at least 1 field within the group needs a value.

Personal Details
Name Title *
please select Mr Mrs Ms
Name * First Last

ID or Passport Number *
     
Nationality *
please select Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Democratic Republic of the Congo Republic of the Congo Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France Gabon Gambia Georgia Germany Ghana Gibraltar Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe
Travel Agent ( if applicable )
This section becomes mandatary if "Travel Agent" is responsible for the payment.
Payment Resposibility *
Client Travel Agent
Agency Name
Agency Contact Person
Agency Contact Number
      
Contact Details
Tip: we need at least 1 telephone number, as well as your email address.
Email Address *
Mobile Telephone
      
Home Telephone
      
Work Telephone
      
Preferred Contact *
please select Mobile Home Work
Fax Number
      
Address
Address Line 1 * Address Line 2 City * State / Province / Region * Postal / Zip Code * please select Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Democratic Republic of the Congo Republic of the Congo Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France Gabon Gambia Georgia Germany Ghana Gibraltar Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe Country *
Accommodation Details
Arrival Date *       
Departure Date *       
Payment Type *
please select Credit Card: Master & Visa EFT (Electronic Funds Transfer)
Accommodation: The Fernery Lodge
Please note: rates are for the current season starting May 2010 & ending Sep 2010.
These rates are for reference only & may differ to those quoted.
B&B Honeymoon Suite ** 0 2 4 sharing @ R 1,070 & 0 1 2 single @ R 1,600
B&B Luxury Suite ** 0 2 4 sharing @ R 965 & 0 1 2 single @ R 1,440
B&B Garden Suite ** 0 2 4 sharing @ R 865 & 0 1 2 single @ R 1,300
Accommodation: The Fernery Chalets
Additional mattresses can be requested for children of 12 years & younger, at a surcharge.
B&B Chalet ** 0 2 4 6 8 10 12 sharing @ R 630 & 0 1 2 3 4 5 6 single @ R 945
Self Catering Family Chalet ** 0 1 2 sleeps 2 + 2, 1 bathroom @ R 1,460
Self Catering Twin Chalet ** 0 1 2 sleeps 2 + 2, en suite @ R 2,600
Additional Information
Dietary requirements, special needs, etc.
Special Needs

Form Submission

Indemnity apply when booking.

Submit