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Mr. Ms.

First Name : Middle Name :
Last Name :

Age : Birthday : / / Religion :


Occupution : Office :

Office Address :


Zip Code : Country :

Tel. Country Code : Area Code : Number :

Fax. Country Code : Area Code : Number :

e-Mail :


Home Address :


Zip Code : Country :

Tel. Country Code : Area Code : Number :

Fax. Country Code : Area Code : Number :

e-Mail :


Check-in Date dd/mm/yy : / /

Check-out Date dd/mm/yy : / /

Room Type : Standard Superior Junior Suite

No. od Nights Stay Nights

Breakfast Perferred : American Asian

Would you like transfer from the airport ?
Pick me up on date / / time
Send me off on date / / time


Money Transfer to
Krung Thai Bank Trang Branch
Account No. 903-1-71376-7
Bangkok Bank Trang Branch
Account No. 261-0-713-998