First Name:*

Number of Child:*

Last Name:*

Number of room:*

E-mail Address:*

Extra bed:

Telephone:

Check-in date:*

Fax:

Check-out date:*

Nationality:

Flight No. (Arrival):**

Room Type:*

Flight No. (Departure):**

Number of Adult:*

Special Request:

* Please note that there is no booking until you will receive a booking confirmation from us via your e-mail

** Extra bed service charges 500 baht per night