4th YWP South Africa and 1st African YWP Conference
Kindly complete the accommodation request form below
Personal Information
Please complete this section with all your personal information
Full Name
*
First Name
Last Name
Work Telephone no
-
Area Code
Phone Number
Mobile Telephone no
*
-
Area Code
Phone Number
E-mail
*
ID | Passport Number
*
Company Name
*
Department
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Next - Accommodation Requirements
Accommodation Requirements
Please complete this section to specify your accommodation requirements
Check In On:
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Day
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Month
Year
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Check Out On:
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Day
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Month
Year
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Accommodation Rates
Kindly note that all prices are per person, per night and is VAT inclusive
Accommodation Preference
*
5 Star (R1200 - R 2200)
4 Star (R900 - R1200)
3 Star (R750 - R900)
Budget (less than R750)
I don't have my final travel details yet
Other
Accommodation Type
*
Large Hotel
Boutique Hotel
Lodge
Guest House
B&B
Other
Dinners Provided
Kindly note that dinner will be provided for your on the evenings of the 16th and 17th
Meals Requirements
Breakfast
Lunch
Dinner
13 November
14 November
15 November
16 November Dinner Provided
17 November Dinner Provided
18 November
19 November
No meals needed
Dietary Requirements
*
Halal
Kosher
Vegetarian
Vegan
Allergies - Yes
Allergies - No
None
Other
Additional Dietary Requirements
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Next - Transport Requirements
Transfer Requirements
Please complete this section should you require transfers from the airport to the hotel
Do you Require Transport
*
No, I do not require any transport
Yes, I require a transfer from the Airport to the Hotel
Yes, I require, Rental Car
Yes, I require Group transfers 2 to 5 people
Yes, I require Group transfers 6 to 10 people
I do not have my final trafel arrangment details yet but I will require transport
I will contact you when i have my final details
Please contact me with transport options and pricing
Arrival | Do you require a transfer from the Airport to the Hotel
*
Yes
No
Departure | Do you require a transfer from the Hotel to the Airport
*
Yes
No
Arrival Date:
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Day
/
Month
Year
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Departure Date:
/
Day
/
Month
Year
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Arrival | What Type of transfer do you require
Car Hire
Shuttle Service
Chauffeur Drive
Other
Departure | What Type of transfer do you require
Car Hire
Shuttle Service
Chauffeur Drive
Other
Arrival | If Yes, How many people are in your group
1
2
3
4
5
6
7
8
Other
Departure | If Yes, How many people are in your group
1
2
3
4
5
6
7
8
Other
Arrival | Which airport will you be landing at
Departure | Which airport will you be flying from
Arrival | Name of Airline
Departure | Name of Airline
Arrival | Arrival Time
Departure | Departure Time
Arrival | Flight Number
Departure | Flight Number
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Next - Invoice Details
Invoice Details
Please complete this section with the details that needs to appear on your invoice
Company | Name on Invoice
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Who the invoice will be made out to
Attention To
First Name
Last Name
E-mail
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Phone Number
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Area Code
Phone Number
Invoice Address Details
Street Address or PO Box
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Back - Transfer Requirements
Next - Submit
Thank you for completing the form
Please feel free to contact us should you have any questions or any additional special requirements that we can assist you with (E-Mail) info@streamlinevenues.co.za (Tel) +2711 475 5771 (Fax) 086 549 8056
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