Koh Samui Air-ticket + Hotel Package

RESERVATION FORM

PERSONAL INFORMATION
IMPORTANT!! Pls make sure that it is the name shown on your passport . (*) is a compulsory field.

1st Passenger

Title Name : First Name : Family Name :
2nd Passenger
Title Name : First Name : Family Name :
3rd Passenger
Title Name : First Name : Family Name :
4th Passenger
Title Name : First Name : Family Name :
IMPORTANT!! Pls furnish complete e-mail address so that our reply could reach you
E-mail Address :
* ( Correspondence E-mail address)
E-mail Address : ( Second E-mail address, if any )
Fax No:
Telephone No in Hongkong:
Company Name (if applicable) :
Correspondence Address :
Nationality : *
RESERVATION DETAILS
1st choice of hotel :
2nd choice of hotel :
Types of Rooms Required:
Number of Rooms Required:
Number of Adults occupying room :
Number of Children ( if any ) :
Age of Children :
Date of Check In : Date of Check Out:
Kindly furnish guest names if more than 4 Passengers
Special Request :
TRAVEL INSURANCE
Do you need travel insurance? :
 
Please let us know from where you get to know our site:



If you encounter any returned e-mail OR difficulties sending your booking details through this form, you may send your booking details to our help desk at our main reservation office at e-mail address: larry@asiatravel.com
or call us at 2724-6835, Attn: Larry, Celia

At your services always !

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