Form

WELCOME AT DIMALACHITE:

Corporate quote request
Organizer name: *

First Name Last Name
Company name: *
E-mail: *
Phone Number: *

- Area Code Phone Number
Mobile Number: *

- Area Code Phone Number
Nr of delegates: *
Arrival date: *

- Day - Month Year
Arrival time *

: Hour Minutes
Departure date: *

- Day - Month Year
Departure time *

: Hour Minutes
Please select the options that best describe the activities that you prefer:
Include the following: *

None Team building games Mild to wild rafting Themed evening Drumming session Fire walk session Game drive - short Year end function Ice breaker Develop team spirit
Please select the options that best describe the meals that you prefer:
Include the following: *

Braai in open boma Potjiekos in boma Potjiekos competition Campfire Dinner in dining hall Formal dinner Year end function Prepaid Bar
Please select the options that best describe the conference facility that you prefer:
Include the following: *

Half day conference Full day conference Multi day conference Evening conference Laptop connection Proxima Multimedia screen White board & pens Flipcharts & pens DVD Player Sound system Prof. Facilitator
Budget for event: *
Special request:
Please read and Dimalachite's terms, conditions and cancelation policy before submitting your request.
confirm conditions *

We accept Dimalachite's terms and conditions We do not accept Dimalachite's terms and conditions
If the request form doesn't submit, please make sure all fields are complted.
If you still experience a problem, send us an e-mail by clicking HERE. Thanks.
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WELCOME AT DIMALACHITE: