SAMUI PACKAGE

BOOKING FORM

1st Passenger Pls make sure that it is the name shown on your passport

Last Name :

First Name :

   Title :

2nd Passenger

Last Name :

First Name :

   Title :

3rd Passenger

Last Name :

First Name :

    Title :

Email Address :

(Pls indicate) *

Telephone No :
Fax No:

Company Name (if applicable) :

Correspondence Address

Nationality :

*

RESERVATION DETAILS
1st choice of hotel :
2nd choice of hotel :
3rd choice of hotel :
Types of room required:
Number of room required:
Number of person (adult) :
Number of children (if any) :
Age of children : (Pls indicate)
Indicate here if more than 1 room is required
Check in date :
Check out date :

FLIGHT INFORMATION
From Bangkok to Samui

Departure flight name & number required :

Departure Date :

Departure Time :

From Samui to Bangkok

Departure flight name & number required :
Departure Date :
Departure Time :
Date for city tour :
Preferred payment method:
Special Request :

Samui Hotels & Resorts