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Tel: +264 66 686 073/4 REG NO: 2011/0434
FAX: +264 (0)886 305 99 VAT NO: 5723 490-015
Email: reservations@caprivicollection.com
 Web: www.caprivicollection.com
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 Page [%page%]/[%pages%]
Document date: [%date%]
P.O. Box 142
Katima Mulilo, Namibia
[%client_address%]

[%client_company%]

 GUEST INFO:

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Account Your Reference Tax Exempt Tax Reference Sales Rep  
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NOTES:


NAME:Caprivi Lodge Holdings(Pty)Ltd
BANK: FIRST NATIONAL BANK NAMIBIA
BRANCH CODE:281972 Old Power Station
ACCOUNT NO: 62245884467
SWIFT CODE:FIRNNANX
FAX PAYMENT TO: +264 (0)886 305 99

Received in good order

Signed ____________________ Date ____________________
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