Buchung/ Booking -J-Bay- S.A.

Vorname/ name *
Alter/ age *
Telefon/ phone
Email *
Adresse/ Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Unterkunft/ accomodation *
Zimmer/ room type camp
Zimmer/ room type African Perfection Guesthouse
Surfkurs/ surflessons *
Ankunft/ Arrival Date *

DD
/
MM
/
YYYY
Abreise/ Departure Date *

DD
/
MM
/
YYYY
Vertrag gelesen und akzeptiert/ Please accept the terms and conditions *
 Ich habe den Vertrag gelesen und akzeptiert/ I have read and accept the terms and conditions 
Anmerkungen/ Special Requests
Woher bekannt/ wherefrom known
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