| |
First Name*
|
Last Name*
|
|
Email Address*
|
|
Telephone / Mobile
Please
advise Mobile Phone Number to receive Text Message from
us incase we are unable to reach you by email/ phone. |
|
Country*:
|
|
Address:
|
|
Details
of your Reservation
|
|
Hotel Name:
If multiple, separate by comma. |
|
| Hotel Check
in* DD/MM/YEAR
|
Hotel Check
Out* DD/MM/YEAR
|
|
Single rooms
|
Double rooms
|
|
Number of Adults Occupying room:
|
|
Number of Children (If Any):
|
|
Budget Per Room Per night in US$
|
|
Msg: Indicate if you have any special requirements,
e.g extra bed, connected rooms, e.t.c
|
|
If you will require Airport Tranfer, please fill in
your details.( It may require an extra cost
depending on the Hotel.) |
|
Flight Number &Time of Arrival :
|
|
Flight Number &Time of Departure :
|
|
| |
|
|
|
|
|
|
|
|
|