MEKONG TRAVEL & TOUR
BOOKING FORM
PERSONAL INFORMATION
IMPORTANT!!
Pls furnish full name. Names furnished here will be the names used to register for the rooms.
Title Name :
Mr.
Mrs.
Miss
First Name :
Family Name :
IMPORTANT!!
Pls furnish complete e-mail address so that our reply could reach you
E-mail Address :
( Correspondence E-mail address)
*
E-mail Address :
( Second E-mail address, if any )
Fax No:
Telephone No :
Company Name (if applicable) :
Correspondence Address :
Country :
Nationality :
*
RESERVATION DETAILS
Types of Package Tour Required:
MYR-03-SP
MYR-04-M
MYR-05-F
MYR-06-F
MYR-08-F
MYR-10-M
Please Select
Number of packages tour required:
Please Select
1
2
3
4
5
6
Indicate here if more than 1 type of tours are required :
Tour to begin on :
Pick up from which hotel :
FLIGHT INFORMATION
Flight Name and No. (Arrival) :
Time of Arrival :
Flight Name and No.(Departure) :
Time of Departure :
Indicate here for any special instruction for pick up, etc.
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