Cambodia Airport pick-up Service - 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 :
Transfer Service in
Cambodia City Centre
:
• Please Select Location •
Phnom Penh Airport / Train Station - Phnom Penh Hotels or v.v.
Siem Reap Airport / Train Station - Siem Reap Hotels or v.v.
Battambang Airport / Train Station - Battambang Hotels or v.v.
*
Transfer Service in
Cambodia Overland Transfers
:
• Please Select Location ( if you required ) •
Kampong Som - Phnom Penh
Kampong Thom - Phnom Penh
Kampong Thom - Siem Reap
Koh Kong - Phnom Penh
Phnom Penh - Bavet (Vietnamese Border)
Phnom Penh - Kampong Som
Phnom Penh - Kampong Thom
Phnom Penh - Koh Kong
Poipet (Thailand) - Siem Reap
Siem Reap - Kampong Thom
Siem Reap - Poipet (Thai Border)
Pick-up from :
Drop-off at :
*
Vehicle Type :
Car (Max 2 adults)
Van (Max 7 adults)
*
Type of journey :
One Way
Round Trip
*
Number of guest (adult)s :
*
Number of children (if any) :
Age of children :
Indicate here for any special request :
Preferred payment method :
by Visa Card
by Master Card
by JCB Card
by Amex Card
Other ...
FLIGHT INFORMATION :
Arrival Flight :
*
Date of Arrival :
( i.e. May 1, 2005 )
*
Flight Name and No.
( i.e. TG 999 )
*
Time of Arrival
( i.e. 5:30 p.m. )
Departure Flight :
Date of Departure :
( i.e. May 1, 2005 )
Flight Name and No.
( i.e. TG 999 )
Time of Departure
( i.e. 5:30 p.m. )
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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