Booking Confirmation: Please complete and fax to 011 702 1318 . Bookings are secured on return of this form and your deposit proof of payment.
Guest Name How did you find us? Pine Tree Lodge web site Recommended Other Pls specify
E-mail address: If a travel web site, which one?
Id / passport number: Tel home
Fax Cell Physical Address Postal Address
Tel Work  
Arrival date Departure date
Number in your party Rate per night R Emergency contact person
Number of nights Total R Cell Telephone
Deposit R Balance due on arrival R


Bookings are only confirmed on receipt of this completed booking confirmation form and 50% deposit.

Banking details:
Miss C A Child.
Standard Bank Northcliff branch 006305
Account Number 003306186

Check in from 14:00 to 18:00.
Check out by 11:00
PLEASE NOTE: Should wish to check in/out outside of these times prior notice is required.

In the event of a canceled booking, the following cancellation policy will be applicable:

  1. Cancel on or prior to arrival including during the stay - the full payment due may be levied. In the event of premature departure we may charge for full extent of stay, which was booked and confirmed.
  2. Cancel 0 - 14 days before date of arrival, no show - full deposit paid is forfeited.
  3. Cancel 15 - 28 days before date of arrival - 75% of deposit paid or 25% of full quote value (whichever greater) is forfeited.
  4. Cancel 28 + days before date of arrival - 50% of deposit paid or 25% of full quote value (whichever greater) is forfeited.
  5. On receipt of a written instruction to cancel the reservation, including your bank details, we will refund the applicable amount, within 5 working days of your cleared funds reflecting at our bank. We levy a 15% administration fee on any refunds processed .
    Should refunds to a SWIFT bank account be required, an additional R185 charge will be levied.

I accept the above terms and conditions

Client signature: Date:
If paying deposit and or balance with a credit card please complete
Card Type : Electron debit card Visa Card Master Card
Name on card Card number:
Expire date: Security code- 3 digits on back of card
Signature of card holder authorising this transaction