Rabiang Rua Beach Resort
 RESERVATION FORM *Special prepaid rates
PERSONAL INFORMATION
Mr. Mrs. Miss
First Name: * required
Last Name: * required
Email Address: **required
Telephone Number: Fax Number :
Company Name (if applicable) :
Nationality: (as in Passport)
Country of Residence: (Where are you now?)
Important!! Pls furnish complete email address so that our reply could reach you
RESERVATION DETAILS
Types of rooms required :
Number of rooms required: Type of Bed required:
Number of persons required: 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 check in : Date check out :
FLIGHT INFORMATION
Arrival Flight name and no. : Time of Arrival :
Departure Flight name and no. : 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:
click to credit card form of hotels bangkok thailandTo 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
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 e-mail : rsvn@asianetonline.com
Rabiang Rua Beach Resort