Laos Day Tour Reservation Form
PERSONAL INFORMATION
Important!!
Please furnish full name
title Name:
Mr.
Miss
Mrs
First Name:
Last Name:
Important !!
Pls 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. :
Correspondence Address :
Country :
Nationality :
BOOKING DETAILS
Types of Sight-Seeing Tour Required :
----- Please Select -----
City Tour Vientiane (half day)
Ethnic/Cultural Park and Buddha Park (half day)
City Tour Vientiane (full day)
Nam Ngum Lake (full day)
Kayaking in Nam Lik (full day)
Phou Khao Khuay National Park (full day)
Trekking/Kayaking in Ban Pako (full day)
City Tour Luang Prabang (full day)
Kuang Si Waterfalls (full day)
Mountain Bike Tour (full day)
Pak Ou Caves (full day)
Biking and Rafting (full day)
Canoeing & Rafting (full day)
Wat Phou Champasak (full day)
Bolaven Plateau (full day)
Number of person :
Tour date :
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
January
February
March
April
May
June
July
August
September
October
November
December
2003
2004
2005
Hotel to be picked up :
Indicate here if more than one tour is required or any special instruction for pick up, etc :
Preferred payment method :
Pls select
By Visa Card
By Master Card
By JCB Card
By AMEX
FLIGHT DETAILS
Arrival flight name & number required :
(i.e. TG999)
Arrival Date :
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
January
February
March
April
May
June
July
August
September
October
November
December
2003
2004
2005
Arrival Time :
:
A.M.
P.M.
(i.e. 5:30 p.m.)
Please
contact us
if you encounter any difficulties sending your booking details through this form.
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