Secure SSL Booking Form
Hotel / Tour
Reference No.
(if you already make enquiries with our reservation team)
Check-in
Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year 2005 2006
Check-out
Room Type
ETA / ETD
Number of Person
Adult 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 Children 02-12 years old 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 Infant below 2 years 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20
Comments / Requests
Guest Name
Title Mr Mrs Ms Dr First Name Last Name
Address
City
State / Province
Country
Telephone
Business Home
Fax
Email
Credit Card
VISA MASTER CARD DINERS CLUB AMERICAN EXPRESS JCB Card Expiry Date Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Cardholder's Name
(as shown on credit card)
Card Number
(do not enter dashes or spaces)
I acknowledge reading the term and condition and i understand my credit card will be charge according to the terms stated.
The status of your reservation will be notified by us within 24-48 hours. Thanks for your reservation. If you encounter any difficulties while sending us your booking details through this form, please Email Us or contact our reservation department at +609 6262020 for assistance.
All details entered on this form are encrypted and submitted through a secure server. Confirmation options : The reservation can be confirmed by faxing your credit card (Confirm by Fax) details to our reservations staff or transferring a deposit directly into our bank account (Confirm by Bank Transfer).
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