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Karon beach, Phuket Thailand
Reservation Form
Guest Name :
Mr.
Mrs.
Miss
Name :
*
Email Address :
*
Telephone No :
Fax No :
Company Name (if applicable) :
Correspondence Address :
Reservation Details
Types of Rooms Required :
Pool view single room
Pool view twin room
Villa single room
Villa twin room
Number of Extra bed required :
0
1
2
3
4
5
Number of rooms required :
1
2
3
4
5
6
Number of person :
1
2
3
4
5
6
Number of child :
0
1
2
3
4
5
6
Indicate here if more than 1 type of rooms are required Please furnish the names of the additional guests :
Date of check in :
Date of check out :
Flight & Information
Flight name and flight no.(Arrival) :
Time of Arrival :
Flight no.(Departure) :
Time of Departure :
Please indicate if airport pick up Service is required :
Yes
No
Credit Cards Details
Credit Card Holder Name :
Credit Card Type :
Select
AMERICAN EXPRESS
DINERS
JCB
MASTERCARD
VISA
Credit Card Number :
Credit Card Expiration Date (month/year,example 12/99) :
Indicate here for any special request :
Please take a moment to let us know from where you get to know our site :
Please select one of the followings:
From search engine directly to our site
From other web site
From printed media
From friend's recommendation
*
6 Karon Road, Muang, Phuket Tel : +66 076 286447-50 Fax : +66 076 286451 E-mail :
info@diamondcottage.com
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