Your Details
Title:
Forename:
Surname:
Telephone number:
Mobile Number:
E-mail Address:
Fax:
Nationality:
NRC/Passport No:
Reserved By:
Arrival and Departure Details
Arrival Time:
Arrival Date:
Departure Date:
Arriving By:
Air Car Bus
Flight No:
Airline:
Number In Party
Number of Adults:
Number of Children (12 and Under):
ROOM REQUIREMENTS
Room Required:
Single Double Twin
Chalet Type:

Chalet with living room

Private Chalet

Main house: private/shared (no aircon)

Acceptance of Terms & Conditions
I confirm that the above details are correct
Chimfule Lodge, P.O Box 101, Mfuwe, Zambia Tel: +260 6245129 Email: chimfulelodge@IwayaAfrica.com