Guest Name : Important!!! Please furnish full name.
Nationality :
E-mail Address : Important!!! Please furnish complete e-mail address so that our reply could reach you.
Telephone No : Mobile Phone No: Fax No:
Company Name (if applicable) :
Correspondence Address
Type of Room: Samal House
Number of rooms required: 1 2 3 4 5 6
Indicate here if more than 1 type of room is required. Please also furnish us the name of the guest for the other rooms.
Date of check in : Date of check out:
Flight name and no. (Arrival) : Time of Arrival :
Flight name and no.(Departure) : Time of Departure :
Indicate here for any special request.