Personal Information
First Name:
Mr. Miss Mrs. Dr. *
Last Name:
*
Nationality
E-mail1:
** Very Important!
E-mail2:
Contact Address:
Telephone:
Fax:
Booking Information
Hotel Name
Barali Beach Resort
Alternative hotel
Select Hotel ------------------------------ AANA Resort and Spa Amari Emerald Cove Resort Banpu Koh Chang Hotel Barali Beach Resort Chang Buri Resort and Spa Chang Park Resort and Spa Koh Chang Paradise Resort and Spa Koh Chang Resort & Spa Koh Chang Tropicana Resort and Spa
Check-In Date
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 /month January February March April May June July August September October November December Year 2007 2008 2009 2010 *
Check-Out Date
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 /month January February March April May June July August September October November December Year 2007 2008 2009 2010 *
Room Type
Deluxe Villa Ocean Deluxe Villa Beachfront Villa Junior Suite Villa
0 1 2 3 4 5 6 7 8 9 10
SINGLE ROOM 0 1 2 3 4 5 6 7 8 9 10
DOUBLE ROOM 0 1 2 3 4 5 6 7 8 9 10
TWIN ROOM 0 1 2 3 4 5 6 7 8 9 10
TRIPLE ROOM
Number of Person in Room(s)
1 2 3 4 5 6 7 8 9 10 person(s)*
Adult(s) 1 2 3 4 5 6 7 8 9 10 Child(s) 0 1 2 3 4 5 6 7 8 9 10 Child's Age
Special Request
Expect Check in Time Normal Early Check-In Late-Chec-In
If not NORMAL, please specify check-in time 13:00 14:00 15:00 16:00 17:00 18:00 19:00 20:00 21:00 22:00 23:00 24:00 01:00 02:00 03:00 04:00 05:00 06:00 07:00 08:00 09:00 10:00 11:00 12:00 noon I Selected Normal
Arrival flight number :
Departure flight number :
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