Jetstar Asia Bangkok Land 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.
Mdm
Miss
First Name :
Family Name :
Passport Nos
*
2nd Passenger
Title Name :
Mr.
Mdm
Miss
First Name :
Family Name :
Passport Nos
*
3rd Passenger
Title Name :
Mr.
Mdm
Miss
First Name :
Family Name :
Passport Nos
*
4th Passenger
Title Name :
Mr.
Mdm
Miss
First Name :
Family Name :
Passport Nos
*
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 :
*
Company Name (if applicable) :
Correspondence Address :
Country :
Nationality :
*
RESERVATION DETAILS
Choice of Hotel
Please select
Bangkok City Inn
Diamond City
Baiyoke Sky Hotel
The Davis
Majestic Grande
Siam City Hotel
Holiday Inn Bangkok
Novotel Siam Square
Pathumwan Princess
Types of Rooms Required:
Please Select
Single - one person in a room
Twin/Double - two person in a room
Triple - three person in a room
Number of Rooms Required:
1
2
3
4
5
6
Kindly furnish guest names if more than 4 Passengers
Special Request :
Date of Check-in
(dd/mm/yyyy)
Date of Check-out
(dd/mm/yyyy)
Arrival Flight
* for pick up purpose
Arrrival Time
* for pick up purpose
Departure Flight
* for pick up purpose
Departure Time
* for pick up purpose
Credit Card Details
* Please provide full credit card details in order to have priority in booking process
and cardholder must be one of the travelling party.
Credit Card Holder Name :
*
Credit Card Type:
Pls select
Visa Card
Master Card
AMEX
*
Credit Card Number :
*
Credit Card Expiration Date :
(month/year, example 12/04)
*
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
help@asiatravel.com
At your services always !
Main Page