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
Please speicfy room type
Deluxe Villa Ocean Deluxe Villa Beachfront Villa Junior Suite Villa
Number of room(s) required
0 1 2 3 4 5 6 7 8 9 10
SINGLE ROOM : room for one person
Number of room(s) required
0 1 2 3 4 5 6 7 8 9 10
DOUBLE ROOM : room for two persons with 1 big bed
Number of room(s) required
0 1 2 3 4 5 6 7 8 9 10
TWIN ROOM : room for two persons with 2 single beds
Number of room(s) required
0 1 2 3 4 5 6 7 8 9 10
TRIPLE ROOM : room for three persons
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
Smoking Non-Smoking No Preference High Floor Low Floor No Preference
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 : Arrival date : / Time
Departure flight number : Departure date : / Time
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