Reservation Information
Firstname:
Mr.
Mrs.
Ms.
Lastname:
Nationality:
*Required!
Email Address :
*Required!
Address:
City/State/Province:
Country:
Telephone No :
Fax No :
Passport number:
*Required!
Reservation Details
Types of Rooms Required :
**REGULAR ROOMS**
Superior
Deluxe
**APARTMENT**
1 Bedroom 43
1 Bedroom 57
1 Bedroom 98 (with Sauna)
2 Bedroom 87
3 Bedroom 194 (with Sauna & Jacuzzi)
Number of Rooms Needed:
1
2
3
4
5
6
Occupants per room:
Adults
Children
eg. 2 (person)
Age of children
eg. 5, 7 (years)
Extra bed:
yes
no
Date of check in :
Date
1
2
3
4
5
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31
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
2006
2007
2008
2009
2010
Date of check out :
Date
1
2
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5
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Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
2006
2007
2008
2009
2010
Please fill in guest info
1st Room Info
Lastname
Middlename
Firstname
Age
1
Mr.
Mrs.
Ms.
2
Mr.
Mrs.
Ms.
3
Mr.
Mrs.
Ms.
2nd Room Info
Lastname
Middlename
Firstname
Age
1
Mr.
Mrs.
Ms.
2
Mr.
Mrs.
Ms.
3
Mr.
Mrs.
Ms.
3nd Room Info
Lastname
Middlename
Firstname
Age
1
Mr.
Mrs.
Ms.
2
Mr.
Mrs.
Ms.
3
Mr.
Mrs.
Ms.
Flight Information
Arrival flight no. :
Date/Time of Arrival :
d /m/y
01
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hr
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59
min
Departure Flight no. :
Date/Time of departure:
d/m/y
01
02
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06
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08
09
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hr
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01
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58
59
min
Other Requirement:
Place here any special request eg: connecting rooms, no smoking, etc.
If you have any difficulties in sending your booking details with this form, you may also send your booking details to our reservation office at :
contact@pinewoodresidences.com,
pinewood@loxinfo.co.th
