Bacchus Home Resort Pranburi
RESERVATION FORM
PERSONAL INFORMATIO
N
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 :
-- please select ---
Superior Garden View
Deluxe Sea View
Pretty Deluxe Sea View
Family Deluxe (1 DBL+1 SGL)
Type of Bed :
-- select --
Twin
Double
*request upon available
Number of rooms required:
1
2
3
4
5
6
7
Number of persons :
1
2
3
4
5
6
7
Number of Child:
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 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
--- No ---
Private One way
Private Two ways
Joint One way
Joint Two ways
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:
From Search Engine
----- Altavista
----- Excite
----- Google
----- 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 payment 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
BACCHUS HOME RESORT