| Passport Number |
|
| Date of Birth* |
,
,
(dd,mm,yy) |
| |
|
| Reservation Data: |
| Which Kimbima Location are you making a reservation for? |
|
Kimbima Hotel (Aberdeen on Atlantic Ocean) |
|
Kimbima Lodge (Wilberforce overlooking Freetown) |
Select the exact room that you are reserving? |
| Select a room at Kimbima Hotel |
|
Select a room at Kimbima Lodge |
| |
|
|
Proposed Period of Stay : |
| Start
Date
,
,
(dd,mm,yy) |
| Check
Out Date
,
,
(dd,mm,yy) |
Are you a Preferred Customer? |
|
Yes |
|
No |
If Yes, enter your Organisation or Member ID in the box
below: |
|
|
How do you wish to pay? |
|
Cash |
|
Credit Card (subject to approval) |
|
Cheque (subject to approval) |
|
Any Other Information?
(Example:- requests for Roll Beds or Cribs or Multiple
Reservations for more than one person)
|
| |
|
|
