CENTARA VILLAS PHUKET
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) : Number of person(s) : Type of Bad :
Number of Children ( if any ) : Age of Children :
Extra Bed : Yes No ( if required ) 
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 Required One way Two ways
Indicate here for any special request
Please take a moment to let us know from where you get to know our site:
   
Click to credit card payment formTo guarantee 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.

Due to prepayment rate. The payment should be made before arrival to secure your booking.

Cancellation Policy
1) If notification of cancellation is received after payment is done : There will be no cancellation charge except for a credit  card processing fee of 5%.
2) If notification of cancellation is received less than 7 working days (not including Sat, Sun & Public holidays) prior to check-in date. : A credit  card processing fee of 5% PLUS one night room charge will be levied.

For further information please contact us at Contact e-mail : rsvn@asianetonline.com
Centara Villas
Centara Villas, Phuket
8/21 Moo 1, Tambon Karon, Amphur Muang, Phuket 83100 Thailand.