Full Name:		Telephone:
Email:		Cell Number:
Fax Number:		Total No. of Nights
Room:	Choose your Accommodation The Pinotage Room The Shiraz Room The Merlot Suite The Beaujolais Suite The Chardonnay Suite The Acorn Cottage	No. of Children:
Arrival Date:		Departure Date:
No. of Adults:		Ages:
Address:		Special Notes:
Where Did You Hear About Us?