GUEST DETAILS
Title Name:
Mr.
Mrs.
Ms.
First Name *:
Family Name *:
Important!!
Please furnish complete e-mail address so that our reply could reach you.
E-mail Address *:
(Correspondence E-mail address)
E-mail Address:
(Second E-mail address, if any)
Telephone No:
Fax No:
Date of Birth (dd/mm/yyyy) *:
Correspondence Address *:
Country *:
Nationality *:
RESERVATION DETAILS
Type of Rooms Required:
Single
Twin
Double
Triple
Number of rooms required *:
Number of Person(s) *:
Number of Children (if any):
Age of Children:
Check-in date (dd/mm/yyyy) *:
Check-out date (dd/mm/yyyy) *:
Arrival Time (HH:MM) *:
CREDIT CARD DEPOSIT
This information is used to secure your booking only
Type:
VISA
MASTER
Number :
-
-
-
Expiration Date (mm/yy) :
Name on Card :
Additional Information
Request:
Remark:
Contact Person:
Contact Tel:
Contact Fax:
Contact Email:
REQUIREMENT:
1. Credit card guarantee for a one-night accommodation is required in advance to secure reservations. Otherwise room will be reserved on first come first served basis.
2. We will not charge the payment from your credit card.
3. We require guest to pay by cash on their arrival. Please ask for the receipt.
4. Cancellation of less than 24 hrs prior to arrival date will be subject to 1 night full rate charge from your credit card and we require cancellation's notice via email only.
5. All fields marked with * is required
©2007 Tuptim Bed & Breakfast
