BOOKING FORM
GUEST DETAILS
Title Name :
Pls select
Miss
Mrs
Mr
Guest Name :
To avoid mistake, pls ensure that it is the same name as in hotel booking
Email Address :
Pls furnish!
Telephone No :
Fax No:
Correspondence Address :
Nationality :
RESERVATION DETAILS
Hotel category Required:
Please Select Hotel Category
Standard
First Class
Superior
Deluxe
Package Tour Required:
Please Select
LS-1 : 3 Days Vientiane Stopover
LS-2 : 3 Days Luang Prabang Stopover
LS-3 : 4 Days Glimpse of Laos
LS-4 : 5 Days Image of Laos
LS-5 : 5 Days/4 Nights Laos Compact
LS-6 : 6 Days/5 Nights Laos Overview
LS-7 : 10 Days/9 Nights Laos Campass
LS-8 : 6 Days/5 Nights Essential Laos
LS-9 : 7 Days/6 Nights Laos Outlook
LS-10 : 6 Days/5 Nights Mekong Escape
Number of pax :
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Number of children :
0
1
2
3
4
5
(if any)
Pls indicate age of chidren :
Tour to begin on Date :
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
2000
2001
2002
Indicate here if more than 1 type of tours are required :
FLIGHT INFORMATION
Flight name & number (Arrival) :
Time of Arrival :
Preferred payment method:
Pls select
By Visa Card
By Master Card
By JCB Card
By AMEX
By Telegraphic Transfer
Indicate here for any special instruction for pick up, etc. :
Laos Hotels & Resorts
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Package In Laos
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Asia Travel