Break-A-Wave Realtime Booking Form

Check In Date:

Check Out Date:

Number of nights:

	28 Apr 25	29 Apr 25	30 Apr 25	01 May 25	02 May 25	03 May 25	04 May 25	05 May 25	06 May 25	07 May 25	08 May 25
Two Bedroom Chalet	Sold	R 1,210	Sold	Sold	Sold	Sold	Sold	R 1,210	R 1,095	R 1,095	R 1,095

Property fully booked for dates requested, please choose different dates.

Credit Card Type*

Credit Card Number*

Expire Date

Month

Year

Name on card*

CVC*

Amount (Deposit: %)

Submit a booking for Break-A-Wave