RIM KOK RESORT, CHIANG RAI
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 Type of Bed :
Number of room(s) required : Number of Person(s) required :
Extra Bed : Yes No ( if required )
Number of Children ( if any ) : Age of Children :

Airport Transfer Required Car Van

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 :
Indicate here for any special request
Please take a moment to let us know from where you get to know our site:
  

To 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
  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

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 Contact e-mail :rsvn@asianetonline.com

RIMKOK RESORT & HOTEL
6 Moo 4 Chiangrai - Thatorn Rd. Amphur Muang Chiangrai 57100 Thailand