EVERGREEN PLACE BANGKOK
RESERVATION FORM - Prepayment Rate
PERSONAL INFORMATION
Mr. Mrs. Miss
First Name : Last Name :
Email_Address 1: Correspondence E-mail address *required
Email-Address 2 : Second e-mail address,if any or Reconfirm
Telephone_number : Fax_number :
Company Name (if applicable) :
Country : Nationality :
Important!! Pls furnish complete email address so that our reply could reach you
RESERVATION DETAILS
Types of room(s) Required : *required
Number of room(s) required : Number of Person(s) required : Extra Bed : Yes No
Number of Children (under 12 years) : Age of Children :
Indicate here if more than 1 type of rooms are required
Please also furnish names of the guests for the additional rooms

Date of check in Date of check out:

FLIGHT INFORMATION
Flight name and no. (Arrival) : Time of Arrival :
Flight name and no.(Departure) : Time of Departure :
Airport Transfer Requires click here for more info.
Indicate here for any special request
Please take a moment to let us know from where you get to know our site:

Credit card paymentTo payment your reservation, please print out this form and fill in all the information required with your signature and fax this form to +662 541-9574

Remark: You will be informed of the status of your reservation within 24 hours after this form has been submitted. Thank you and we wish you a pleasant journey.
For further information please contact us at e-mail : booking@advicehotel.com

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