Please complete and fax back with proof of deposit.
Guest Name/s: _________________________________ Number of adults: _______________________________
Number of Children: ______________________ Age of Children: _______________________________________
Sharing
Single
Rate per night: ___________________ 50% Deposit Now Due: __________________
Expected Arrival Time (approx): __________________ Flight No.: _____________ Airport Transfer Required: Yes / No
Reservation and Cancellation Policy:
Reservations to be guaranteed in writing with a Credit Card number and expiry date. 50% Deposit due on reservation.
(Should no deposit be deducted from your credit card and the booking is cancelled, the appropriate cancellation fee will
be deducted)
21 days or more prior to arrival
Deposit fully Refundable
20 – 14 days prior to arrival
50% refundable
13 – 0 days prior to arrival
Deposit Non – refundable
NO SHOW will result in 100% of the total stay being deducted from the credit card.
Signed and accepted by: ____________________________ Date: _______________
Credit Card Number: _______________________________________________
Exp Date: 20________ CVV: _______
Name of Card: ________________________________________
Thank you for choosing to stay with Country Lane Lodge