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TOUR BOOKING REQUEST FORM
Thank you very much for booking with Indochina Travel Service. Please help us to fill in the form with your proper information. Once being submitted, your request will be routed to our sales representatives who will respond you shortly the booking status.
Please note that fields marked with an (*) are mandatory.
Should you have further questions, please do not hesitate to
contact us.
We look forward to your arrival.
Your information:
Title:
Mr
Mrs
Miss
Ms
Dr
Prof
Sir
Lady
First name:
(*)
You must input Your FirstName
Last name:
(*)
You must input Your LastName
Nationality:
Argentinian
Australian
Austrian
Belgian
French
Italian
Canadian
Chilian
Korean
Japanese
Mexican
German
Dutch
Newzelander
Polish
Russian
Singaporean
South African
Spainish
Swedish
Swiss
Taiwanese
British
American
Hongkongian
Other
(*)
Phone Number:
You must input Your Phone Number.
Fax number:
Email address:
(*)
Your travel plan:
Date of arrival:
November 2024
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Flight details:
Date of departure:
July 2007
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Flight details:
How many people are traveling:
Adult(s):
1 person
2 persons
3 persons
4 persons
5 persons
6 persons
7 persons
8 persons
9 persons
10 persons
>10 persons
Children (2 - 11 years):
0 person
1 person
2 persons
3 persons
4 persons
5 persons
6 persons
7 persons
8 persons
9 persons
10 persons
>10 persons
Infants (<2 years):
0 person
1 person
2 persons
3 persons
4 persons
5 persons
6 persons
7 persons
8 persons
9 persons
10 persons
>10 persons
Your inquiry:
Tour Name:
Siem Reap Cycling and Remote areas
Starting date:
November 2024
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Minimum advance booking of 7 days required.
What is your preferred hotel level (if having):
Budget <$50
Standard >$50
Superior >$110
Deluxe >$190
Number of rooms:
Single:
none
1
2
3
4
5
>6
Double:
none
1
2
3
4
5
>6
Twin:
none
1
2
3
4
5
>6
Triple:
none
1
2
3
4
5
>6
Other special requirements:
Further information you would like to share with us so that we can well take care of you.
Such as dietary, Fitness condition, Must-see places, etc?
Billing option:
(*)
Bank transfer
Credit Card
I have read and agreed with your
Terms & Condition.
(*)
Confirm your email:
(*)
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