travel booking form
1 NIGHT CREW DEAL
Lead Guest Name
*
First Name
Last Name
Crew ID number
*
E-mail
*
example@example.com
Phone Number /WhatsApp
*
-
Country Code
-
Area Code
Phone Number
Next of Kin Name and contact
*
Second guest name
First Name
Last Name
additional guest name
First Name
Last Name
alternative contact details for additional guests
example@example.com
Room Type
*
Please Select
Family Room (1 to 4 People)
Double
Twin
Number of Guests
*
Arrival Date & Time The day you wish to check in at Kiasoma
*
-
Day
-
Month
Year
Date
Hour Minutes
Departure Date & Time (the date and time you need to be at your destination by please)
*
-
Day
-
Month
Year
Date
Hour Minutes
Free Pickup?
*
Yes Please! - Pick me up on arrival
No Thanks - I'll make my own way there
Pick up Time
Hour Minutes
AM
PM
AM/PM Option
Pick up address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Flight Number
Special Requests including any dietary requirements - please include anything which will make your stay more enjoyable - strong likes/dislikes for example
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I give permission for Kiasoma Lodge to email me with valuable offers, promotions and information.
I would like to join Kiasoma Country Club (this is required if you would like to buy alcoholic drinks from us)
Which activity would you prefer for you included activity Please select 1
*
Please Select
Lion encounter
06.30 Game Drive
0930 Game Drive
Bush Walk (subject to availability)
Quad Biking
Zip Lining
Diamond Mine
My Products
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Deposit per person
20% deposit for for 1 night including either 1 Game Drive, or 1 visit to lions or 1 quad biking, transfers meals and accommodation. not including flights or drinks per person
£
31.00
Quantity
1
2
3
4
5
6
7
8
9
10
Single Person Supplement
£
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Private room supplement per person for 2 or more people requiring separate guest lodges
£
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Balance per person- payable now or on arrival
£
124.00
Quantity
1
2
3
4
5
6
7
8
9
10
Lion and Wildlife interaction
as an addition - per person
£
55.00
Quantity
1
2
3
4
5
6
7
8
9
10
Horseback Safari
Per person as an extra. On one night there is only time to do either the horseback or the lions.
£
60.00
Quantity
1
2
3
4
5
6
7
8
9
10
Horseback safari instead of a game drive as the included activity
Per person
£
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Visit to the Elephant Sanctuary
Per person -
£
95.00
Quantity
1
2
3
4
5
6
7
8
9
10
Elephants and Monkeys together
includes transport
£
105.00
Quantity
1
2
3
4
5
6
7
8
9
10
Game drive as an additional visit - please state whether you would like 0530 or 0900 in the Special requests box
per person
£
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Quad biking
1 hour as an addition. Can be added to horseback safari for an extra charge
£
55.00
Quantity
1
2
3
4
5
6
7
8
9
10
Zebra interaction adults
During this Interaction Session, the opportunity to touch, brush, feed, and walk with the Zebras, and includes 6 x Digital Photos each, as well as 6 x Photos of the Couple/Family Closed on Sundays
£
60.00
Quantity
1
2
3
4
5
6
7
8
9
10
Zebra interaction children over 3 years
During this Interaction Session, the opportunity to touch, brush, feed, and walk with the Zebras, and includes 6 x Digital Photos each, as well as 6 x Photos of the Couple/Family Closed on Sundays
£
30.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
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