WELCOME AT DIMALACHITE:
Camping and/or fishing quote request
Full Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Mobile Number
*
-
Area Code
Phone Number
Arrival date
*
/
Day
/
Month
Year
Departure date
*
/
Day
/
Month
Year
Number of people 12yr+
*
all people older than 12yr
Nr of kids 3 - 12yr+
*
Must be between 3 and 12yr
Type of camping site
*
Non fishing site
Fishing site
Fishing / non fishing
Number of camping sites
*
Max 6 people per site
Other accommodation
None
Lux lodges
Reg chalets
Specify under special request
Activities (optional)
White water rafting
None
Mild to wild
Gate to Dome
Get Wet
White water Rafting
None
"Mild to Wild"
"Get Wet"
"Gate to Dome"
Rafting options
Number for rafting
Book rafting lunch
None
Yes
Sunset paddle on rafts
None
With snacks
With braai and bonfire
Min 6 people
Special requests:
Enter the message as it's shown
*
Submit Form
Clear Form
Print Form
Should be Empty: