Personal Detail :
First Name :
Last Name :
Company :
Phone :
Fax :
E-mail Address :
City :
State :
Country
 Reservation Details :
Room Type :
No. of Rooms :
Number of Adult :
Number of Children :
Date of Check-In :
Date of Check-Out :
 Flight Information :
Airline :
Time of Arrival :
Airline Code/Flight No. :
Time of Departure :
 Credit Card Info :
 We com only reconfirm your reservation after we have received your full name,
 credit card number and expire date, either by E-mail or Facsimile.
 Credit Card Number :
 Credit Card Company :
Expire Date :
 Additional Request : 
 

Khaolak Mohin Tara Hotel
65/19 Moo 5, Khuk Khak, Takuapa, Phang-Nga, Thailand, 82190, Tel : +66(0) 7648 6602-10,
Mobile phone: +66 (0) 89 289 1844, (0) 81 8601467
Fax : +66(0) 7648 6611
e-mail :
info@khaolakmohntarahotel.com

 
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