KOH CHANG
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CHANGBURI RESORT                SUP/TWN            2,500/NIGHT+ABF(11 JAN-31 MAY)
KLONGPRAO RESORT               STD/TWN            2,100/NIGHT+ABF(11 JAN-31 MAY)
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Hotel name
Rooms
Type
 ( Standard / Superior / Deluxe )
Number
Adults
Children
Check-in date
Arrival
 at hrs.
Check-out date
Departure
 at hrs.
Requirements
Airport pick-up is required?
 Yes No
 
First Name
Last Name
  
Address
City
Country
Email

Telephone
Fax
Passport No
Date of Birth
Credit card No
Expiry date
Issue by (Bank's name)

Visa Card

Last 3 digits behind the card

Master Card

Last 3 digits behind the card

Diners Club

2 alphabets left side of the card

American Express

4 digits right side of card