In House Tour Programs
Attraction by Area
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Chiang Mai Travel Tips
Please fill in the form below, then print out and fax to us at 66-53-279019. We will then check for room availability from your request and will send a fax reply to confirm if we have accepted your reservation.
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Guest Information
Title:
Mr
Mrs
Miss
Ms
Dr
First Name:
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Last Name:
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Street Address:
Town / City:
State / Province:
Zip / Postal Code:
Country:
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Albania
Algeria
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Angola
Anguilla
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Aruba
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Belgium
Belize
Benin
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Bhutan
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Chad
Chile
China
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Comoros
Cook Islands
Costa Rica
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Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
El Salvador
Eritrea
Estonia
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Falkland Islands
Faroe Islands
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Fiji
Finland
France
French Guiana
French Polynesia
Gabon Republic
Gambia
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Gibraltar
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Guadeloupe
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Guinea
Guinea Bissau
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Hong Kong
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Iceland
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Jamaica
Japan
Jordan
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Kuwait
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Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Niue
Norfolk Island
Norway
Oman
Palau
Panama
Papua New Guinea
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
Republic of the Congo
Reunion
Romania
Russia
Rwanda
Saint Vincent and the Grenadines
Samoa
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
St. Helena
St. Kitts and Nevis
St. Lucia
St. Pierre and Miquelon
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
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Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Vanuatu
Vatican City State
Venezuela
Vietnam
Wallis and Futuna Islands
Yemen
Zambia
Phone Number:
Fax Number:
*
Reservation Information
Type of Room :
Select Room Type
- Room with balcony facing the Ping River
- Room without river view (Rear Side)
- Triple room
No. of Room(s) :
1
2
3
4
5
6
7
8
9
10
No. of Adult (s) :
1
2
3
4
5
6
7
8
9
10
No. of Children :
None
1
2
3
4
5
6
7
8
9
10
Check-in Date :
Check-out Date :
Other Requirements :
e.g. extra bed
Flight Information (if any)
Flight name and number
Arrival:
Date/Time of Arrival:
Departure:
Date/Time of Departure:
Payment Information
We require a non refundable one night deposit when you make a reservation. Your card detail will not be stored in the database.
Please enter your credit card information
Name On Card:
Card Number:
Card Type:
VISA
MasterCard
Expiration Date:
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-Year-
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