Camping / fishing quote request

WELCOME AT DIMALACHITE:

Camping and/or fishing quote request
Full Name: *

First Name Last Name
E-mail: *
Mobile Number: *

Area Code Phone Number
Alternative Mobile Number: *

Area Code Phone Number
Nr of people +12 yr: *
Nr of kids 3-12 yr : *
Arriving date: *

- Day - Month Year Date Picker Icon
Departure date: *

- Day - Month Year Date Picker Icon
Type of camping site: *
Fishing / non fishing
Nr of camping sites: *
Other accommodation:
Specify under special request
Activities (optional)
White water Rafting:
"SPECIAL" Rafting options
Number for rafting:
Game drive:
45 min game drive
Number for game drive:
Guided fishing on rafts:
Min 4 people
Language *

Afrikaans English
Special requests:
Please read Dimalachite's terms, conditions and cancelation policy before submitting this request.
Terms and conditions

I accept Dimalachite's terms and conditions I do not accept Dimalachite's Terms and conditions
If the request form doesn't submit, please make sure all fields are complted.
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WELCOME AT DIMALACHITE: