Imperial Lake View & Golf Club Cha-Am
RESERVATION FORM

PERSONAL INFORMATION
Mr. Mrs. Miss
Guest?Name :
Email : **required
Telephone : Fax :
Nationality : Country :
Company Name (if applicable) :
Important!! Please furnish complete email address so that our reply could reach you
RESERVATION DETAILS
Types of Rooms Required:
Number of rooms required: Number of persons :
Number of Child under 12 years: 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
Arrival Flight name and no. : Time of Arrival :
Departure Flight name and no. : Time of Departure :
Airport Transfer Required No Yes
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 +662 5419574

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

The Imperial Lake View