JOMTIEN BEACH HOUSE & SPA
RESERVATION FORM

PERSONAL INFORMATION

Mr. Mrs. Miss
Guest-Name :
Email Address : **required
Telephone Number : Fax Number:
Company Name (if applicable) :
Country : Nationality :
Important!! Please furnish complete email address so that our reply could reach you
RESERVATION DETAILS  
Types of Rooms Required:

Number of rooms : Number of persons :  

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 Round Trip
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 (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