Reservation Form via Fax     

Please  Fill and Sign then reply to us by fax to our Malaysia office. Fax : (+609) 6262022 or (+609) 6228093   

Hotel / Tour

Reference No.

 (if you already make enquiries with our reservation)

Room Type

Date

Check-in     Check-out 

ETA / ETD

Number of Person

Adult     Children 02-12 yrs    Infant below 2 yrs 

Comments / Requests

 

 

Guest Name

  

Address

City

State / Province

Country

  Postal Code  

Telephone

Business     Home 

Fax

Email

 

 
Total Amount
RM  (3% processing fees will be charge from the total  amount
for payment made through credit cards)

Credit Card

   Card Expiry Date (mm/yy)  

Cardholder's Name

 (as shown on credit card)

Card Number

  (do not enter dashes/spaces)
Security Code (CVV)
(The last 3 digits after the credit card number which is located at the back of your Credit Card, in the Signature area)

Signature

_______________________________                   Date 

   

I acknowledge reading the term & condition, 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 Tel : (+609) 6262020 for assistance. Confirmation options : The reservation can be confirmed by Secure SSL Booking Form Online or transferring a deposit directly into our bank account (Confirm by Bank Transfer).

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Authorisation Code (office use only)                                 (KKKP2117 / 209874W)
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