Reservation/Booking Form

Reservation / Booking Form

To make a reservation at our special Internet rate, please fill out the form below

! = Important information

First name :

Last name :

Email :

Telephone no. :

Fax no. :

Passport no. :

Company :
(If applicable)

Address :

Country :

Nationality :

Reservation/Booking Information
Check in date :	!
Check out date :	!
Types of room required :
Types of bed :
Number of room required :
Extra bed :	Yes No
Number of adult(s) :	!
Number of children (If any) :
Age of children :
Please specify if more than one type of room is required :
Other requirement :

Flight Information

Arrival :

Flight name and no. :

Time of Arrival :

Departure :

Flight name and no. :

Time of Departure :

Credit Card Information

Type :

Expiry Date :

Card No :

- - - !

The last Three-digit number appearing on signature panel :

Please indicate if airport pick up service is required : Yes No

183 M. 2 Saladan Phra-ae Beach, Koh Lanta
(6 km. from Saladan) Krabi 81150 Thailand
Tel. : 075 - 684186 , 081 - 6764875 Fax : 075 - 684187
For more information please contact : info@gooddayslanta.com

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