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Please fill up this form below, then print out and fax to us at 66-53-279019.

Full name
Mr. Mrs. Ms.

Address:
City :
Country:
Telephone:
Fax: * Compulsory Field 
RESERVATION INFORMATION

Check-in date

Check-out date

Month Day Year Month Day Year


Room(s)  

Adults 

Children  
Age

 

Expect check-in after 18:00?  

Special Request (if any)

PAYMENT INFORMATION  

VISA/Master card number

Name of card
Mr. Mrs. Ms.

Expiration Date Ex. 20xx



FLIGHT INFORMATION (if any)
Flight name and number (Arrival)      
Date/Time of Arrival     
Flight name and number (Departure) Date/Time of Departure

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