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A. PERSONAL INFORMATION
Full name * :
Title:
Day of birth: (mm/dd/yyyy)
Address * :
Postal code:
City:
State:
Country * :
Tel * : (Country code)
(Area code)
(Phone number)
Fax: (Country code)
(Area code)
(Fax number)
E-mail * :
   
B. FLIGHT DETAILS
Arrival
Name of the airline:
Flight number:
Arrival date: (mm/dd/yyyy)
Arrival time: Hour Minute
Departure
Name of the airline:
Flight number:
Departure date: (mm/dd/yyyy)
Departure time: Hour Minute
   
C. TOUR REQUEST
Tour code *:
Commencing date *: (mm/dd/yyyy)
Number of guest(s) Adult(s) *:
  Child(ren) under 6 under 12
Hotel category *:
Room category *:
Number of room(s) *: Single    Twin    Double
Triple    Extrabed
Guide speaking *:



  Others (please specify)
Other request:

I read and agree with term & condition

 
 
Fields marked with asterisk * are mandatory.
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