Southland Inn Karon beach Phuket Thailand - Phuket Reservations Service

Reservation Details:

Your Email Address (required) :
:

Please make sure your e-mail address is correct.

I would like to :

Airport - Hotel Transfer Required? :

Yes No (Arrival)

Hotel - Airport Transfer Required? :

Yes No (Departure)

Arrival Flight Number :

Arrival Time: (local/dps)

Departure Flight Number :

Departure Time: (local/dps)

Room Type :

How many room(s) :

Check in date :

(dd/mm/yy)

Check out date :

(dd/mm/yy)

How many adults ? :

How many children :

Your Details:

Salutation :

Other :

First / Christian Name :

Last Name / Surname:

Date of Birth :

(dd/mm/yy)

Nationality :

Passport No. :

Street Address :

City / Town :

State / County / Region :

Zip / Post Code :

Country :

Office Phone :

Fax :

Home Phone :

Fax :

Mobile Phone :

Other Information / Requests :

Payment Method (By Fax or Internet ):

Note:

Your reservation request can only be processed once the hotel receives your credit card details. You may either include these details on this form or, if you prefer to send them by fax, you should submit this Internet / email reservation form first and then fax the credit card details over using this form within 24 hours. Please use only use the fax form provided.

This hotel accepts the following credit / charge cards;

By submitting this reservation form, I hereby agree with / to your Terms & Conditions and authorize you to charge the credit card specified here (or under separate fax cover) accordingly.

Type of card :

Issuing Bank :

Card Number :

Expiration Date :

(dd/mm/yy)

Cardholder's Name :

Payment details by fax option:

To receive the credit card fax confirmation form	: Click here to get the form.
Please make a note of the hotel's fax number	: +66 76-396-867

Please confirm the following payment details:

a) Number of Rooms Required:

b) Room Rate Used :

In Thai Baht (rates from hotel info page)

c) Total Room Rate (a x b) :

In Thai Baht

d) Number of Nights :

e) Total Room Charges (c x d) :

In Thai Baht

f) Total Additional Charges
(If appropriate) :

In Thai Baht

g) Total Charges (e + f) :

In Thai Baht

h) 17% Tax & Service Charge :

In Thai Baht

i) Total Charges (g + h) :

In Thai Baht

Other information (as appropriate) :

*** IMPORTANT ***
Before clicking the submit / "send form" button....

PLEASE NOTE THAT BY CLICKING THE "SEND FORM" BUTTON BELOW TO
SUBMIT YOUR RESERVATION REQUEST TO US, YOU AGREE WITH & ACCEPT THE TERMS AND CONDITIONS.

YOUR RESERVATION WILL ONLY BE PROCESSED IF THE FORM HAS BEEN FILLED OUT COMPLETELY & CORRECTLY.

Your reservation will be confirmed as soon as possible by the hotel.
If you have any questions about the reservation form you have submitted to
us or about this site, please e-mail the reservation agent at
info@phuket-phuket.com

BEFORE YOU PRESS SUBMIT PLEASE CHECK YOUR EMAIL ADDRESS AS WE CAN NOT
PROCESS YOUR RESERVATION IF IT IS MISSING OR INCORRECT.

Southland Inn Karon Beach Phuket Hotels Reservations Form

Southland Inn Karon Beach
Phuket Hotels Reservations Form