Laos Tours - 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 package required :
• Please Select Packages •
Vat Phou Cruise 1, 3 days ( Now-30 Apr 06 )
Vat Phou Cruise 2, 3 days ( 1 May-31 Oct 06 )
Luangsay Cruise Upstream 1, 2 days ( Now-30 Apr 06 )
Luangsay Cruise Upstream 2, 2 days ( 1 May-31 Oct 06 )
Luangsay Cruise Downstream 1, 2 days ( Now-30 Apr 06 )
Luangsay Cruise Downstream 2, 2 days ( 1 May-31 Oct 06 )
Nature of Luang Prabang 2, 3 days
Luang Prabang Classic 1, 3 days
Northern Expedition 1, 5 days
Northern Expedition 2, 6 days
Northern Expedition 2, 6 days
Southern Mekong, 4 days
Plain of Jars, 3 days
Vientiane Classic 1, 3 days
Vang Vieng Trek, 4 days
Laos Classic 1, 4 days
Laos Classic 2, 5 days
Laos Classic 3, 5 days
Northwest Journey 1, 6 days
Northwest Journey 2, 7 days
Highlights of Laos, 8 days
North to South, 12 days
Laos Grand Tour, 15 days
*
Hotel Category :
• Please Select Hotels •
Var. A
Var. B
Var. C
*
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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