UTOPIA SUITES, KOH TAO
RESERVATION FORM

PERSONAL INFORMATION
Mr.  Mrs.  Miss
Guest-Name :
Email Address:	**required
Telphone :	Fax :
Company Name  (if applicable) :
Important!! Pls furnish complete email address so that our reply could reach you

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RESERVATION DETAILS

Types of rooms  required :  STUDIO APARTMENT (GROUND FLOOR) 1 BEDROOM,2ND FL ROOM WITH AIR CONDITIONING

Number of rooms  required: 1 2 3 4  5 6 7 Types of Bed : Number of persons : 1 2 3 4  5 6 7

Number of Child: 0 1 2 3 4 5 6 Ages of Children: Extra Bed Required Yes No

Lunch Required Yes No / Dinner 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:

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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:
From Search Engine ----- Altavista ----- Excite ----- Hotbot ..... whatUseek ----- Infoseek ----- Lycos ----- Yahoo From Sawasdee.com From Pattaya.com From Bangkokpost web From other web site From printed media From friend's recommendation

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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

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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