Panviman Resort, Koh Chang
RESERVATION FORM
PERSONAL INFORMATION
IMPORTANT!!
Pls furnish full name. Names furnished here will be the names used to register for the rooms.
Title Name :
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
1 Hour Transfer Service Required :
Please Select
Ao Thummachat Pier at Trat mainland - Resort
1.5 Hour Transfer Service Required :
Please Select
Trat Airport - Resort
5 Hour Transfer Service Required :
Please Select
One way : Bangkok - Resort
Roundtrip : Bangkok - Resort - Bangkok
Number of Adults occupying room :
Number of Adults :
Number of Children ( if any ) :
0
1
2
3
4
5
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 :
Please indicate if airport pick up Service is required :
Yes
No
Please take a moment to let us know from where you get to know our site:
Please select one of the followings:
From search engine directly to our site
From search engine to Asia Travel
From other web site
From printed media
From friend's recommendation
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 !
Main Page