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   Prepaid Reservation Form


                                                 

            Number of rooms :                                                     

            Number of adults (include children >12 yrs.)            

            Number of children                                                     

            Ages of children (yrs.)                                     

Check-in Date

Check-out

                        
 
            Expect check-in after 18:00?                                         

            Airport pickup required ?                                               

Select your payment type

Card Number & expiry date
         

Alternately, you may  send your credit card and booking via fax to 880-2-8811885.

2) Your personal details  This information will be kept strictly confidential.

Guest full name Mr.Mrs.Ms.

(same as passport)

Address:
City:
Country:
(country code-area-number) Telephone:
(country code-area-number) FAX:
(required) E-mail Address 1
 E-mail Address 2
  
                                     
Flight Information (if any)

Arrival

Departure

Flight

Date

Time

Flight

Date

Time