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kasalong phuket resort
Reservation Request Form
• Booking Information
Arrival Date:
Departure Date:
Number of night stay: Night (s)
Kasalong Suite Rate: Baht 6,000 / room / night
• Room Information
Bed Type:
Number of Room:
Adult per room: Person (s)
Child per room: Person (s)
Supplement for Extra Bed: Yes No ( Baht 500 / bed / night )
Smoking: Yes No
• Transfer Information
Transfer Required: Yes No
Arrival Time:
AM. PM. Flight No:
Departure Time:
AM. PM. Flight No:
• Personal Information
Title Name: Mr. Mrs. Miss
First Name: * 4 - 16 charactors
Last Name: * 4 - 16 charactors
Company:
Address 1: *
Address 2:
City: *
State: *
Zip/Postal Code: *
Country:
Phone: *  
Fax:
E-mail Address: *
• Credit Card Information:
   
A credit card number is required to confirm / guarantee your reservation.
Credit Card Type:
Number:
Expiration Date:

Name on Card:
• Special Request Information:
Please enter special requests in the
below box given. Please note that
special requests cannot be guaranteed,
but we will do our best to accommodate.

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Copyright © 2005-2011 Kasalong Phuket Resort Co.,Ltd.
9 Moo. 5 Tambon Sakhu, Ampur Talang, Phuket 83110
Tel: 66 (76) 205 209-10 Fax: 66 (76) 327 646
You can contact us: ksl@kasalongphuket.com Design by ViewShop-Asia.com
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