Personal Details:

Name:
Correspondence Address :
Country / Nationality :
Company Name (If applicable):
Telephone No:	Fax No. :
E-mail Address :

Reservation Details

No. of Adult (s):    Child (ren):

Check-in date:	Check-out date:
Room type : Please Click Standard King Standard Twin Superior King Superior Twin Deluxe Twin Deluxe King Suite Room	No. of room (s):

Extra Bed :       Yes              No (Please tick where applicable)

Payment Method :       Credit Card         Cash (Please tick where applicable)

Note:  Kindly take note that this form is only a request and not a confirmation of booking.