RESERVATION FORM
GUEST DETAIL
PERSONAL INFOMATION
Important!! Please furnish full name
Title Name:
Mr.
Miss
Mrs
First Name:
Family Name:
Important !! Pls furnish complete e-mail address so that our reply could reach you
E-mail Address :
(Correspondence E-mail address)
E-mail Address :
(Second e-mail address , if any)
Telephone NO. :
Passport No :
Company Name (if applicable) :
Correspondence Address :
Country :
Nationality :
RESERVATION DETAILS
Types of Packager Tour Required :
Please Select Package Tour
2 Days 1 Nights Nangyuan Dive Resort
Dive Package Tour
Fun Dive Package Tour
Number of Adult(s) requires :
1
2
3
4
5
Number of Children ( If any):
0
1
2
3
4
5
Indicate here if more than 1 type of One Day Trip are require
Please also furnish names of the One Day Trip
Indicate here for any special request
Date of Tour
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PICK UPINFORMATION
Please indicate if pick up Service is require :
No
Yes
Pick up time :
From which hotel :
Please Select Hotel
Hotel in area Chaweng area
Hotel in area Lamai area
Hotel in Maenam area
Hotel in bophut area
Date of check in:
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Date of check out :
1
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January
February
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April
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June
July
August
September
October
November
December
2000
2001
2002
2003
2004
2005
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