| Personal information |
| Name*: |
|
Surname*: |
|
| Address: |
|
| City: |
|
Country: |
|
| E-mail*: |
|
| Telephone*: |
|
Mobile phone: |
|
| |
|
| Reservation information |
| Check in date*: |
|
Check out date*: |
|
| Room Preferences*: |
|
Extra bed*: |
Yes
No |
| Number of nights*: |
|
Number of rooms*: |
|
| Arrival Date*: |
|
Arrival
Time*: |
|
| Flight Number*: |
|
|
|
| |
| Transfer Services (Please
meet me at:) |
|
Phuket
Airport |
|
Phuket
Bus Station |
|
Other (please describe below) :
|
|
No thank you, I will arrive on my
own. |
| |
| Preferred Method of
Payment |
|
Cash
Visa
Master Card
Bank
Transfer |
|
