Cambodia Day Tour - Reservations Form
PERSONAL INFORMATION :
Important !!!
Please furnish full name.
title - First Name - Last Name
Mr.
Miss
Mrs
*
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 )
Fax No :
Telephone No :
Correspondence Address :
Country :
Nationality :
*
RESERVATION / BOOKING INFORMATION :
Types of sight-seeing required :
• Please Select Tour •
City Tour Phnom Penh (full day)
Angkor (full day)
Takeo (full day)
Oudong (half day)
The Killing Fields and Tuol Sleng (half day)
Sunset Cruise on the Mekong (1 hour)
Phnom Kulen (Full day)
Tonle Sap Lake (half day)
Prek Tuol Bird Conservation Area (Full day)
Angkor (full day)
Anlong Veng (full day)
Phnom Kulen & Banteay Srei (full day)
Beng Mealea (full day)
*
Number of person (adult)s :
*
Number of children (if any) :
Age of children :
Hotel to be picked up :
Tour Date :
*
( i.e. January 1, 2005 )
Indicate here if more than one tour is required or any special instruction for pick up, etc :
Preferred payment method :
by Visa Card
by Master Card
by JCB Card
by Amex Card
Other ...
Remark : * Required Information
If you encounter any returned e-mail OR difficulties sending your booking details through this form, you may send your booking details to our help desk at our main reservation office at e-mail address
contact@e-biz-travel.com
At your services always !
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