Phuket Grand Tropiccana Reservation Form
PERSONAL INFORMATION
Title name :
Pls select
Mr
Mrs
Miss
First Name (1st room):
Family Name (1st room):
Title name :
Pls select
Mr
Mrs
Miss
First Name (2nd room):
Family Name (2nd room):
Important !!
Only 1 name per room is required. Pls make sure guest name is exactly same as passport. Resubmit if more than 2 rooms are required.
Email Address :
*
Important !!
Pls furnish complete email address so that our reply could reach you
.
Telephone No :
Fax No:
Company Name (if applicable) :
Correspondence Address :
Nationality :
*
RESERVATION DETAILS
Type of room required:
Pls select according to number of person in room and type unique to hotel selected.
Superior Single
Superior Double
Superior Twin
Superior Triple
Number of room required:
Pls select
1
2
3
4
5
6
7
8
9
10
Number of adults :
Pls select
1
2
3
4
5
6
7
8
9
No. of children (if any) :
Age of Children :
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 :
Airport pick up service required :
Pls select
Yes, from Airport - Hotel
Yes, from Hotel - Airport
Yes, from Airport - Hotel - Airport
No
Preferred payment method:
Pls select
By Visa Card
By Master Card
By JCB Card
By AMEX
By Telegraphic Transfer
Indicate here for any special request.
( bed types preferred, connecting room, etc.)
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 to Asia Travel
From other web site
From printed media
From friend's recommendation