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Cape Panwa Hotel - Kanary & Bay - Phuket Thailand
PERSONAL INFORMATION
Guest Name :
Important: Please fill out full name
Email Address :
Important: Please fill out complete address, so our reply can reach you.
Company Name :
If applicable
Country :
Telephone No. :
Facsimile No. :
Full address for mailing and correspondence :
RESERVATION DETAILS
Types of Rooms required :
Type of Room
Studio Room
One Bedroom
Two Bedroom
Panwa Lodge
No. of Room required :
No. of Rooms
01
02
03
04
05
Specify
(Specify only)
No. of Person :
Person
(Adult :
person (s) /Children :
person (s) )
Indicate here if more than 1 type of rooms are required
Date of Check in :
January
February
March
April
May
June
July
August
September
October
November
December
01
02
03
04
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06
07
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31
2000
2001
Date of Check out :
January
February
March
April
May
June
July
August
September
October
November
December
01
02
03
04
05
06
07
08
09
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30
31
2000
2001
Type of Payment
Cash
Credit Card
Credit Card Information
Credit Card No. :
Credit Card Holder :
Expiry Date :
January
February
March
April
May
June
July
August
September
October
November
December
01
02
03
04
05
06
07
08
09
10
11
12
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14
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21
22
23
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30
31
2000
2001
2002
2003
2004
2005
FLIGHT INFORMATION
Arrival flight No. :
Time of arrival :
Departure flight No. :
Time of departure :
Do you need airport-hotel transfer :
Yes
No
Transfer Pick Up (Airport- Hotel-Airport) : -
Yes (if yes, please mention below)
No
Round Trip
One Way
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