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Reservation

Reservation Form
* Name : * Email :
* Telephone : Fax :
Company Name (if applicable) :
Address :
Reservation Details
Types of Rooms :
Number of rooms : Extra bed :
Number of person : Number of child :
Additional guests : 
Check in :
dd/mm/yyyy
Check out : dd/mm/yyyy
Flight Information
Flight no.(Arrival) : Time of Arrival :
Flight no.(Departure) : Time of Departure :
Airport pick up : Yes No    
Credit Cards Details
Card Holder Name : Card Type :
Card Number : Card Expiration Date
(mm/yy,ex 12/99) :
Special request :

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6 Karon Road, Muang, Phuket Tel : +66 076 286447-50 Fax : +66 076 286451 E-mail : info@diamondcottage.com
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