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CASSIA LODGE RESERVATION FORM
PHONE CONTACTS
Tel: +256 755 777 002 / 4
E-mail: info@cassialodge.com

First Name*		Last Name*
Email Address*
Telephone / Mobile Please advise Mobile Phone Number to receive Text Message from us incase we are unable to reach you by email/ phone.
Country*:
Address:
Details of your Reservation
Hotel Name: If multiple, separate by comma.
Hotel Check in* DD/MM/YEAR	Hotel Check Out* DD/MM/YEAR
Single rooms	Double rooms
Number of Adults Occupying room:
Number of Children (If Any):
Budget Per Room Per night in US$
Msg: Indicate if you have any special requirements, e.g extra bed, connected rooms, e.t.c
If you will require Airport Tranfer, please fill in your details.( It may require an extra cost depending on the Hotel.)
Flight Number &Time of Arrival :
Flight Number &Time of Departure :

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