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RESERVATION
IF YOU WOULD NOT ALLOW TO ADVISE YOUR CREDIT CARD DETAIL
THROUGH INTERNET PLEASE PRINT OUT THE FORM AT
PAY BY CREDIT CARD FORM
AND SEND TO US BY FAX. NO. (66 76) 341206
PERSONAL INFORMATION.
First Name:
*
Last Name:
*
E-mail Address:
*
Telephone Number :
Fax Number:
Address:
Country:
HOTEL RESERVATION.
Hotel Name:
Type of Rooms:
Please Select
SGL
TWN
TRP
Number of Person:
Adult:
0
1
2
3
4
5
Children:
0
1
2
3
4
5
Date Check In:
Date Check Out:
Airport Pic up Required?:
Yes
No
Flight Name:
Flight Arrival:
Flight Departure:
TOUR RESERVATION.
Type of Trip:
Number of Person:
Adult:
0
1
2
3
4
5
Children:
0
1
2
3
4
5
Trip Date:
Pic up Required?:
Yes
No
Hotel at Phuket:
Hotel Room Number:
Telephone:
Other Information:
CAR RESERVATION.
Type of Car:
Type of Service:
Daily
Monthly
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2003
2004
2005
Number of Car:
0
1
2
3
4
5
Other Information:
BOAT RESERVATION.
Type of Boat:
Type of Service:
Daily
Monthly
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2003
2004
2005
Number of Boat:
0
1
2
3
4
5
Other Information:
CREDIT CARDS DETAILS.
Credit Card Hold Name
(Same on Card):
Credit Card Type:
Please Select
American Express
Visa
Master Card
Credit Card Number:
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Copyright
@
2003-2006. All right reserved Dream Garden Patong Partner Ship Limited
14, 16 Rachutid 200 years Rd.,Soi 1, T.Patong, Kathu, Phuket 83150 Thailand
Tel: 66 76 345522 Fax: 66 76 341206 |
E-mail: tour@poppapalace.com
TAT License 33/2948
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