Asia Travel Hotel - Fax Booking Form

Please print off this form, complete the details and fax to +66 (0)2 938 0293
If you do not receive a response within 24 hours please refax or telephone reservations direct on +66 (0)2 938 0293
Name: ______________________________________________________________
Email: ______________________________________________________________
Fax Number: ________________________________________________________
Tel. Number: ________________________________________________________
Full Address: ________________________________________________________
___________________________________________________________________
City/Country: _______________________________________________________
Company name: _____________________________________________________

Please BOOK/CHECK Availability (Please state which):
Room Type:    Single / Double / Suite / Apartment
Arrival date: ________________________________________________________
Departure date: _____________________________________________________
Number of nights: ___________________________________________________
Number in party: ____________________________________________________
Children(s) age: _____________________________________________________
Price per night: _____________________________________________________
Credit card no.#:   __________________________________________________
Expiry Date/Name: __________________________________________________
Need Visa: Yes / No       Passport: _____________________________________
Other Comments: ____________________________________________________
___________________________________________________________________

Signature: __________________________________________________________