Please PRINT and FAX the completed form to: + 27 86 606 4307
Buffalo Campers
Name 
Address 
Tel No. 
Fax No. 
Email 
For reference purposes, please provide
details of your previous correspondence:
Date of last email/fax 
Name used 
Email address used 
Vehicle Booked 
Other Vehicle Options 
  
Number of persons:   Total  Adult  Children 
Arrival/Pick Up Details - please select one only & then complete only the corresponding hotel/airport details
NOTE: This information is required at least 14 days prior to arrival. 
Airport Hotel Buffalo Premises
Flight details Airline
Flight # 		Date
Time
Hotel Name 
Hotel Address 
Hotel Contact Tel. No. 
Hotel Collection  Date 
Time (09:00 - 15:00 only) 
Arrival at Buffalo Premises 
Date 
Time    09:00 - 16:00 only
Return date 
Return place 
Other relevant info 
 
 
 
I authorise Buffalo Campers/RV Rentals to debit my credit card with R___________ Deposit to secure Motorhome / 4x4 booking and the balance due 7 days before arrival of R___________. (Total booking less 20% of rental).
CREDIT CARD TYPE   Mastercard Visa
CARD NO.     
Note: It is safe to enter your card details here as this form is not being sent over the internet
EXPIRY DATE   /   (MM/YY)
C V Number:  (last 3 digits on reverse side of card)
Passport Number:  (required by our bank to verify card transactions)
Date of Birth:  (in format dd/mm/yy) (required by our bank to verify card transactions)
SIGNATURE 

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