Eurasia Cha Am Lagoon 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 :    Type of bed :
Number of rooms  required:   Number of persons :
Number of Child: Ages of Children: Extra Bed Required Yes No
Airport Transfer Required Car Van  *If you want, please fill flight details
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
Flight name and no. (Arrival) :  Time of Arrival :
Flight name and no.(Departure) : Time of Departure :
Indicate here for any special request
Please take a moment to let us know from where you get to know our site:
 
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 rsvn@asianetonline.com 

Eurasia Cha Am Lagoon