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 1:	Family Name 1:
Title Name 2: Mr. Mrs. Miss	First Name 2:	Family Name 2:

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
Types of Tours Required:	Please Select 1/2 Day • Cycle Tour Bangkok Jungle 1/2 Day • Cycle Tour Chinatown 1 Day • Cycle Tour of Floating Market 1 Day • Cycle Tour Bangkok Countryside 1 Day • Cycle Tour Ko Kret 1 Day • Cycle Tour of Historic Ayutthaya 1 Day • Cycle Tour San Kham Paeng 1 Day • Cycle Tour Ancient Lamphun 2 Days / 1 Nights • Khao Yai Wine Trails 3 Days / 2 Nights • Cycle Tour Kanchanaburi 3 Days / 2 Nights • Cycle Tour South Central Coast 4 Days / 3 Nights • Cycle Tour Central Thailand
Pick Up Point/ Hotel Name
Number of Pax Required :
Age of 1st Guest :
Height of 1st Guest : Weight of 1st Guest :
Age of 2 nd Guest :
Height of 2nd Guest : Weight of 2nd Guest :
Number of Children ( if any ) :	0 1 2 3 4 5
Age of Children :
Height : Weight :
Indicate here for any special request
Date of Check In : Date of Check Out:

EMERGENCY CONTACT DETAILS
Name :
Daytime Telelephone No.
Evening Telelephone No.
Pre-existing medical conditions

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
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 !