PERSONAL INFORMATION
IMPORTANT!! Pls furnish full name. Names furnished here will be the names used to register for the rooms.
Title Name : Mr. Mrs. Miss	First Name :	Family Name :

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
Types of Rooms Required:	Please Select Package # 1 with transfer from airport to hotel Pakcage # 1 with transfer from hotel to airport Package # 2
Types of Bed:	Please Select Single Twin Double Triple
Number of Rooms Required:	1 2 3 4 5 6
Number of Adults occupying room :
Extra Bed ( if required ) :	Yes No
Number of Children ( if any ) :	0 1 2 3 4 5
Age of Children :
Indicate here if more than 1 type of rooms are required. Please also furnish names of the guests for the additional rooms
Indicate here for any special request or date for Dinner Cruise in case you book Package # 2 ( bed types preferred, connecting room, etc.)
Date of Check In : Date of Check Out:

FLIGHT INFORMATION
Flight Name and No. (Arrival) :	Time of Arrival :
Flight Name and No.(Departure) :	Time of Departure :
Preferred payment method: Pls select By Visa Card By Master Card By JCB Card By AMEX By Telegraphic Transfer
Please indicate if airport pick up Service is required : Yes No
Please take a moment to 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 !