Imperial Phukaew Hill Resort
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: Types of Bed : 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 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 guarantee your reservation, please print out this form and fill in all the information required with your signature and fax this form to Imperial Phukaew Hill Resort


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