Mom Tri's Boat House Package - Booking Form
PERSONAL INFORMATION
Important!!
Please furnish full name
Title Name :
Mr.
Miss
Mrs
First Name :
Last Name :
Important !!
Pls furnish complete e-mail address so that our reply could reach you
E-mail Address :
(Correspondence E-mail address)
E-mail Address :
(Second e-mail address , if any)
Telephone NO. :
Correspondence Address :
Country :
Nationality :
BOOKING DETAILS
Types of Package :
- - - - - - - - Please Select - - - - - - - -
The Escape Package
The Getaway Package
A Summer to Remember Package
Types of room :
- - - Please Select - - -
Single room
Twin or Double room
Suite Single
Suite Double
Number of rooms required :
0
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2
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4
5
6
Number of person (adult) :
Number of children (if any) :
Age of children :
Pick-up from :
Drop-off at :
Date of check in:
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2004
2005
Date of check out :
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November
December
2004
2005
Indicate here if more than 1 type of rooms are required
Please also furnish names of the guest for the additional rooms
Indicate here for any special request (bed types preferred, connecting room, etc.)
Preferred payment method :
Pls select
By Visa Card
By Master Card
By JCB Card
FLIGHT DETAILS
Arrival flight name & number required :
(i.e. TG999)
Arrival Date :
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September
October
November
December
2004
2005
Arrival Time :
:
A.M.
P.M.
(i.e. 5:30 p.m.)
Departure flight name & number required :
(i.e. TG999)
Departure Date :
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January
February
March
April
May
June
July
August
September
October
November
December
2004
2005
Departure Time :
:
A.M.
P.M.
(i.e. 5:30 p.m.)
Please
contact us
if you encounter any difficulties sending your booking details through this form.
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