EmailMeForm
21st Birthday Party Venue Pretoria Page
Welcome to Leribisi Lodge
Name and Surname
*
Company
Phone
*
Email
*
Number of Guests
*
21st Birthday - Yes or No
Date of Event
*
DD
/
MM
/
YYYY
Start Time of Event
*
HH
:
MM
AM
PM
AM/PM
Do you require overnight
Accommodation
None
Single Accommodation
Sharing Accommodation
Tick appropriate box or boxes!
Number of guests for
Single Accommodation!
Number of guests for
Sharing Accommodation
Any Special Requirements,
requests or enquiries!