(
!
= Important Information)
GUEST INFORMATION
First name
!
:
Mr.
Mrs.
Ms.
Dr.
Last name
!
:
E-Mail
!
:
Telephone no.
!
:
Fax no. :
Passport no.
!
:
Company :
(If Applicable)
Address
!
:
Country
!
:
Adelie Land
Afghanistan
Alaska
Albania
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Ascension
Australia
Austria
Azerbaijan
Azores
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde
Cayman Islands
Central African Republic
Chad
Chagos Islands
Chile
China
Christmas Island
Cocos Keeling Islands
Cook Islands
Colombia
Comoros
Congo
Costa Rica
Cote d'Ivoire
Croatia
Crozet Archipelago
Cuba
Cyphrus
Czech Republic
Diego Garcia
Djibouti
Denmark
Domiica
Dominican Republic
Easter Island
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guiana
Guinea
Guinea-Bissau
Guyana
Honduras
Hong Kong
Hungary
Haiti
Hawaii
Howland Island
ICAO
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jarvis Island
Johnston Island
Jordan
Kazakhstan
Kenya
Kerguelen
Kiribati
Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Madeira
Malaysia
Malawi
Maldives
Mali
Malta
Marshall Islands
Marion Island
Martinique
Mauritania
Mayotte
Mauritius
Mexico
Micronesia
Midway Islands
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Marianas
Norway
Oman
Pakistan
Palau
Palmyra Island
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Phoenix Islands
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Rodrigues
Romania
Russia
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Paul and Amsterdam
Saint Pierre and Miquelon
Samoa (Americal)
Samoa (Western)
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swan Islands
Swaziland
Sweden
Switzerland
Syria
Tanzania
Taiwan
Tajikistan
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tristan da cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Viet Nam
Virgin Islands (US)
Virgin Islands (Bristish)
Wake Island
Wallis and Futuna
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zanzibar
Zimbabwe
Other - Not Shown
Nationality
!
:
Afghan
Albanian
Algerian
Argentinean
Armenian
Australian
Austrian
Bangladeshi
Belarus
Belgian
Belize
Bosnian
Brazilian
British
Bulgarian
Burmese
Burundian
Cambodian
Canadian
Chilean
Chinese
Colombian
Congolese
Cook Islander
Dutch
Egyptian
Ethiopian
Fijian
Filipino
French
Georgian
German
Greek
Hungarian
Indian
Indo-Fijian
Indonesian
Iranian
Iraqi
Irish
Israeli
Japanese
Jordanian
Kenyan
Khymer
Kiribati
Korean
Kuwaiti
Latvian
Libyan
Macedonian
Malagasy
Malaysian
Mauritian
Mexican
Mongolian
Namibian
Nepali
New Zealander
Nigerian
Pakistani
Palestinian
Peruvian
Pilipino
Polish
Portuguese
Romanian
Russian
Rwandan
Samoan
Serbian
Siberian
Singaporean
Somalian
South African
Spanish
Sri Lankan
Sudanese
Swedish
Swiss
Syrian
Taiwanese
Thai
Tongan
Turkish
Tuvaluan
Ugandan
Ukrainian
Uruguayan
Uzbekistan
Vietnamese
Yugoslavian
Zimbabwean
Other - Not Shown
( Nationality as seen on your passport.)
BOOKING INFORMATION
Check in date
!
:
Check out date
!
:
Room Types required
!
:
Seaview Bungalow VIP Air
Seaview Bungalow 2 Stories Air
Seaview Bungalow Air
Seaview Twin Air
Seaview Air
Seaview Fan
Seaview Hut Fan
Seaview Tent
Packages required
!
:
3 Days 2 Nights
Types of bed
!
:
Single
Twin
No. of room required :
0
1
2
3
4
5
6
7
8
9
Extra bed :
Yes
No
Number of adult(s)
!
:
0
1
2
3
4
5
6
7
8
9
Number of children :
0
1
2
3
4
5
7
8
9
(If Any)
Age of children :
Please specify if more than one type of room is required :
Other requirement :
FLIGHT INFORMATION
Arrival :
Flight name and no. :
Time of Arrival :
Departure :
Flight name and no. :
Time of Departure :
Please indicate if
Suvarnabhumi Bangkok Airport (3,500 THB/Way/Van)
pick up service or
Trat Airport (500-1,000 THB/Way/Van)
pick up services is required:
Yes
No
Please let us know from where you know about
A-Na-Lay Resort, Koh-Ngam
!
:
RESERVATION & PAYMENT
Should be made 2 weeks in advance.
Payment can be made by
BANK TRANSFER
50% deposit 2 days after booking. Transfer to :
Siam Commercial Bank, Wittayu Branch
Account Name : A-Na-Lay Resort
Saving account No. 049-4-23560-7
The rest 50%, you can pay by cash at Trat office in the first day of the trip.
CANCELLATION OR CHANGING DATE
The deposit is non-refundable and non-transferable in case of changing date of travel less than 15 days prior to departure date or in case of cancellation.
If you have problems sending your enquiry form please send it to E-Mail :
analaykohkood@yahoo.com
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A-Na-Lay Resort, Koh-Ngam
Office Address :
76/1-3 Trat-Laem Ngob Road,
Nongsamed Muang, Trat, Thailand.
Inter Hotline :
(66 89) 141 5270
Thai Hotline :
(66 81) 403 6174
More Detail
Since : 25/10/2009
Copyright © 2009-2011
A-Na-Lay Resort, Koh-Ngam
All rights reserved. E-Mail :
analaykohkood@yahoo.com
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