Eurasia Chiang Mai Hotel
RESERVATION FORM *
Payment direct to hotel
PERSONAL INFORMATION
Mr.
Mrs.
Miss
Guest-Name :
Email address:
**required
Telephone number:
Fax :
Company Name (if applicable) :
Nationality:
(as in Passport)
Country of Residence:
(Where are you now?)
Important!!
Pls furnish complete email address so that our reply could reach you
RESERVATION DETAILS
Types of rooms required :
---- Please select room-type ---
Cottage
Eurasia Suite
Type of bed :
Double
Twin
Number of rooms required
:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Number of persons :
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Number of Child under 12 years:
0
1
2
3
4
5
6
Ages of Children:
Extra Bed Required
Yes
No
Indicate here if more than 1 type of rooms are required
Please also furnish names of the guests for the additional rooms
Date check in
Date check out
FLIGHT INFORMATION
Arrival Flight name and no. :
Time of Arrival :
Departure Flight name and no. :
Time of Departure :
Airport Transfer Required
No
Yes
Indicate here for any special request
Please take a moment to let us know from where you get to know our site:
From Search Engine
----- Altavista
----- Excite
----- Hotbot
..... whatUseek
----- Infoseek
----- Lycos
----- Yahoo
From Sawasdee.com
From Pattaya.com
From Bangkokpost web
From other web site
From printed media
From friend's recommendation
To guarantee your reservation, please print out this form and fill in all the information required with your signature and fax this form to
(66 2)
541-9574
If you encounter any return email OR difficulties sending your booking details through this form, you may send your booking details to our help desk at our main reservation office at email address
booking@advicehotel.com
Eurasia Chiang Mai