travel booking form
Crew Wellness Package
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)
My Products - please be aware of timings for the activities
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next
( X )
20% Deposit per person
20% deposit for 1 night package including transfers meals and accommodation.
£
19.00
Quantity
1
2
3
4
5
6
7
8
9
10
Second night - 20% deposit per person
An additional night per person
£
12.00
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
£
76.00
Quantity
1
2
3
4
5
6
7
8
9
10
20% deposit Wildlife conservation interaction
- per person 0830 or 1330 for 2.5 to 3 hours. Closed on Mondays
£
11.00
Quantity
1
2
3
4
5
6
7
8
9
10
20% deposit Horseback Safari
Per person 08.30 0r 1330 for 2.5 to 3 hours
£
11.00
Quantity
1
2
3
4
5
6
7
8
9
10
20% deposit Quad bike Safari
2 hours. 11.00 or 13.00
£
11.00
Quantity
1
2
3
4
5
6
7
8
9
10
20% deposit 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
£
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
20% deposit Zip Lining
per person 2 hours- 0900, 1100 or 1500
£
8.00
Quantity
1
2
3
4
5
6
7
8
9
10
20% deposit Full massage
Per person - 2 hours please contact us for other treatments including relaxing hand and foot treatments.
£
5.20
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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