Prepaid Kampong Som Hotels
Reservation Form
PERSONAL INFORMATION
Guest Name of 1st room :
*
Title Name :
Pls select
Miss
Mr
Mrs
Guest Name of 2nd room :
Title Name :
<
Pls select
Miss
Mr
Mrs
Important !!
Only 1 name per room is required. Pls make sure guest name is exactly same as passport. Resubmit if more than
2 rooms are
required.
Email Address :
*
Important !!
Pls furnish complete email address so that our reply could reach you.
Telephone No :
Fax No:
Company Name (if applicable) :
Correspondence Address :
Nationality :
*
RESERVATION DETAILS
1st choice of hotel :
Pls select
Seaside Resort
Golden Sea Hotel
Sokha Beach Hotel & Resort
Crystal Hotel
2nd choice of hotel :
Pls select
Seaside Resort
Golden Sea Hotel
Sokha Beach Hotel & Resort
Crystal Hotel
3rd choice of hotel :
Pls select
Seaside Resort
Golden Sea Hotel
Sokha Beach Hotel & Resort
Crystal Hotel
Type of room required :
Pls select according to number of person in room and type unique to hotel selected.
Single Run of House Room
Twin Run of House Room
Double Run of House Room
Triple Run of House Room
Single Superior Room
Twin/Double Superior Room
Triple Superior Room
No. of room :
No. of adult :
No. of children (if any) :
Age of Children :
Date of check in :
Date of check out :
FLIGHT INFORMATION
Flight name and no. (Arrival) :
Arrival Time :
Flight name and no. (Departure) :
Departure Time :
Preferred payment method:
Pls select
By Visa Card
By Master Card
By JCB Card
By AMEX
Indicate here for any special request.
( bed types preferred, connecting room, etc.)
Please take a moment to let us know from where you get to know our site:
Please select one of the followings:
From search engine to Asia Travel
From other web site
From printed media
From friend's recommendation