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R E S E R V A T I O N
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To reserve a hotel room & tour with Phuket Tourism Dot Com   at our special discount rates.Please fill in the booking form below. We will confirm your reservation request in approximately 1 business day and send you an e-mail detailing the booking terms and amount due again.

First Name: Mr. Mrs.Ms.
Family Name:
Correspondence
Address:
City/State/Province:
Country:
Phone number:
Fax number:
E-mail address: * IMPORTANT
Hotel Name:
Room Type
Number of persons Adult Child
Extra bed required  
Check-in date:
Check-out date
Flight   Information...
Flight name :
Flight no. (Arrival) :
Time of Arrival :
Flight no.(Departure) :
Time of Departure :
Please indicate if airport pick up Service is required : Yes No
Tours Reservation...
Tours:
Prices Adult
Child
Number of travelers: Adult Child
Special Request :
Date of Tour
Hotel:
Room No.:
   
Credit Cards Details...
Credit Card Holder Name (Same on card)
Credit Card Type
Credit Card Number :
***
***The Last three digit number appearing on the signature panel
Credit Card Expiration Date (month/year, example 12/99):
Indicate here for any special request

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