PERSONAL INFORMATION
IMPORTANT!! Pls furnish full name. Names furnished here will be the names used to register for the rooms.
Title Name 1: Mr. Mrs. Miss	First Name :	Family Name :
Title Name 2: Mr. Mrs. Miss	First Name :	Family Name :
Title Name 3: Mr. Mrs. Miss	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)
Fax No:
Telephone No :
Company Name (if applicable) :
Correspondence Address :
Country :
Nationality :	*

RESERVATION DETAILS
Hotel Name :	Please Select Cosy Beach Hotel Four Seasons Place Hard Rock Hotel Pattaya Jomtien Thani Hotel Mantra Pura Resort & Spa Nova Platinum Hotel Pattaya Discovery Beach Hotel Ravindra Beach Resort & Spa RS. Sea Side Hotel Siam Bayshore Resort Pattaya Villa Panalee
Choice of Tour:	Please Select Alcazar Show with Soft drink (VIP Seat) Coral Island Tour with lunch by Speedboat Crocodile Farm & Million Years Stone
Types of Bed:	Please Select Single (a person in a room) Twin (2 persons in separate beds) Double (2 persons in queen/king bed) Triple (3 persons with an extra bed)
Number of Rooms Required:	1 2 3 4 5 6
Number of Adults occupying room :
Extra Bed (if required) :	Yes No
Number of Children (if any) :	0 1 2 3 4 5
Age of Children :
Indicate here if more than 1 type of rooms are required. Please also furnish names of the guests for the additional rooms
Indicate here for any special request (bed types preferred, connecting room, etc.)
Date of Check In : Date of Check Out:

FLIGHT INFORMATION
Flight Name and No. (Arrival) :	Time of Arrival :
Flight Name and No.(Departure) :	Time of Departure :
Preferred payment method: Pls select By Visa Card By Master Card By JCB Card By AMEX By Telegraphic Transfer
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If you encounter any returned e-mail OR difficulties sending your booking details through this form, you may send your booking details to our help desk at our main reservation office at e-mail address help@asiatravel.com At your services always !