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 :
Mr.
Mrs.
Miss
First Name :
Family Name :
2nd Passenger
Title Name :
Mr.
Mrs.
Miss
First Name :
Family Name :
3rd Passenger
Title Name :
Mr.
Mrs.
Miss
First Name :
Family Name :
4th Passenger
Title Name :
Mr.
Mrs.
Miss
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 :
Pls select
Nora Lakeview Hotel
Chaweng Cabana
Chaba Cabana Beach Resort
Nora Beach Resort
Chaweng Regent
Amari Palm Resort
Buri Rasa Village
Briza Beach Resort
Punnpreeda Hip Resort
Anantara Resort
Pavilion Samui Boutique Resort
Renasissance Koh Samui Resort & Spa
Karma Resort
2nd choice of hotel :
Pls select
Nora Lakeview Hotel
Chaweng Cabana
Chaba Cabana Beach Resort
Nora Beach Resort
Chaweng Regent
Amari Palm Resort
Buri Rasa Village
Briza Beach Resort
Punnpreeda Hip Resort
Anantara Resort
Pavilion Samui Boutique Resort
Renasissance Koh Samui Resort & Spa
Karma Resort
Types of Rooms Required:
Please Select
Single
Twin
Triple
Number of Rooms Required:
1
2
3
4
5
6
Number of Adults occupying room :
Number of Children ( if any ) :
0
1
2
3
4
5
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 select
Yes
No
Please let us know from where you get to know our site:
Please select one of the followings:
From search engine directly to our site
From search engine to Asia Travel
From other web site
From printed media
From friend's recommendation
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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