ASIA PATTAYA BEACH HOTEL
RESERVATION FORM

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 Rooms Required: Type of bed
Number of room(s) required: Number of person(s) 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 Requires click here for more info.
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 requined with your signature and fax 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

Asia Pattaya Beach