travel booking form
2 NIGHT CREW DEAL
Lead Guest Name
*
First Name
Last Name
Crew ID number - this will be kept confidential
*
E-mail
*
example@example.com
Phone Number /WhatsApp
*
-
Country Code
-
Area Code
Phone Number
additional guest name
First Name
Last Name
additional guest contact number
next of kin for lead guest
*
Room Type
*
Please Select
Family Room (1 to 4 People)
Double
Twin
Number of Guests
*
Arrival Date & Time (the date you wish to arrive at Kiasoma)
*
-
Day
-
Month
Year
Date
Hour Minutes
Departure Date & Time (the 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
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 allow us to 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 have read and agree to the terms and conditions below
My Products
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Deposit
20% deposit per person for 2 nights including 2 activities either Lion tour, Game Drive, or Bush Walk, Quad Biking or choose one of the extras for an extra charge. Transfers, meals and accommodation. not including flights or drinks.
£
52.00
Quantity
1
2
3
4
5
6
7
8
9
10
Single person supplement for 1 person coming alone in the taxi
£
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
Deposit for Extra Game Drive or Bush Walk
an extra game drive or bush walk per person.
£
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Horseback Safari supplement per person
To do horseback safari instead of Lions or Game Drive
£
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Deposit for Horseback safari per person
to do horseback safari as an addition to the lions or game drive
£
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Deposit for Elephant Sanctuary visit per person
as an extra. Please note either horseback or elephants as an extra in this deal not both
£
19.00
Quantity
1
2
3
4
5
6
7
8
9
10
Zebra Interaction adult
During this Interaction Session, Visitors will have 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
£
60.00
Quantity
1
2
3
4
5
6
7
8
9
10
Zebra Interaction - Child over 3 years
During this Interaction Session, Visitors will have 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
£
30.00
Quantity
1
2
3
4
5
6
7
8
9
10
which activities would you prefer included in your price? (choose 2)
*
Game drive
Bush walk
lion encounter
zip lining
diamond mine
other as booked above
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
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