2D1N First Class Coach Kuala Lumpur Package
Prepaid Reservation Form
PERSONAL INFORMATION
Important !! Only 1 name per room is required. Please make sure guest name is exactly same as passport. Resubmit if more than 3 rooms are required.
Title Name
1st Room Guest Name
Title Name
2nd Room Guest Name
Important !! Pls furnish complete email address so that our reply could reach you
Email Address *
Telephone No
Fax No
Company Name (if applicable)
Correspondence Address
Nationality *
RESERVATION DETAILS
Choice of Hotel
Number of Rooms required
Prefer Departure time from Sin - Kul
Prefer Return timing from Kul - Sin
Number of Adult travelling (including yourself)
Number of Children travelling
Age of children travelling with you
Date of check in
Date of check out
CREDIT CARD DETAILS
Credit Card Holder Name
Credit Card Type
Credit Card Number
Credit Card Expiration Date (month/year, example 12/08)

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This credit card details you provide is used only to secure your booking. Once the booking is confirmed, we shall inform you with an email to advise the confirmation of reservation and the total debited amount. All bookings require advance payment prior to check-in date. Payment can be made by credit card (Visa, Master or American Express Card)

If you encounter any return email 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 email address help@asiatravel.com

At your services always !

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