Please complete the form,
print, sign and Fax
to : +603-42972019
Contact Details
Salutation:
First Name:
Last Name:
Nationality (as in
passport):
Where are you now (country)?
Email address:
Hand Phone:
Telephone:
Fax Number:
Booking
Details
Hotel
(1st CHOICE) City
...alternative hotels/rooms in case your 1st choice is
not available. *It is important to
give the city as well as there may be hotels with similar
names in different cities.
Hotel
(2nd
choice) City
Hotel
(3rd
choice) City
Type of
Room:
Single Twin Triple Other (State)
Style of
Room:
Standard Sup Dlx Suite Other (State)
Number or
Rooms:
Arrival
Date (the date you arrive/check into the
hotel:
Departure Date (The date
you check out/leave the hotel):
Meal
request! Breakfast Required?: Other Meals
Arrival & Transfer
Details
Arrival Flight No: Time:
Transfers TO Hotel Required?: Transfers
FROM Hotel Required?: *Note that transfers are
generallynot included in the room
rate.
Other special
Needs/Requests
Method of
payment?
Signature(Please sign after
printing)
_____________________________
To request hotels
or rates not yet listed on this site, please e-mailyour
request.