New Customer Registration Form

Stay at Kwila Lodge

Please complete the form below to submit an accommodation request to stay at our on-site lodges.
Your Details
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Accommodation Request
Reason for staying at Kwila Lodge
Names of couple getting married (if applicable)
Check in date

MonthDayYear
Date
Check out date

MonthDayYear
Date
What lodges would you like to hire?

Allawah - Sleeps 4 guests (1 bed studio apartment + sofa bed)Yallaroo - Sleeps 4 guests (1 bed studio apartment + sofa bed)Dulini - Sleeps 5 guests (2 bedroom + sofa bed)Bungalow - Sleeps 4 guests (1 bed studio apartment + sofa bed)
Please specify below how many guests will be staying at each lodge
Special requests
Should be Empty:

Stay at Kwila Lodge