SPECIAL 2009 PROMOTIONS TO PHUKET RESERVATION FORM
 
Thank you for your booking. For flight reservation, please complete the reservation form below . Please note that the flights are not confirmed yet. Our reservation staff will contact you shortly to provide you with more details. Please also note that the flight will be subject to availability.
   
  Personal Information
   
  Please make sure that the name must be in accordance to the passport and that the companion(s) must travel together with the main card holder.
 

(1) Family Name : Last Name : / Age:

  (2) Family Name : Last Name : / Age:
  (3) Family Name : Last Name : / Age:
  (4) Family Name : Last Name : / Age:
   
  Number of Adult :
  Number of Children (2 - 11 years) :
  Number of Infant (below 2 years) :
   
  Please furnish the details so that we could contact you.
  * is a compulsory field
  Name * :
  Contact No. * :
  Fax No. :
 

Email *

 : (Correspondence Email Address)
 

Email

: (Second Email Address, if any)
  Company Name
(if Applicable) 		:
  Correspondence Address :
   
  Credit Card details of the card holder
  Name :
  Type of Credit Card :
  Credit Card :
  Expiry Date : /
  Name as feature in the card :
   
  Flight Details
   
  Class :
   
  Departure From :
Click here to view flight schedules
  Flight :
  Stopover in BKK
 :
  Date * :
 
  Return From :
  Flight :
  Stopover in BKK
 :
  Date * :
 
I read and understood the terms and conditions of the promotion.