SAMUI
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CORALBAY RESORT  (CHAWENG BEACH)DLX/TWN    4,500/NIGHT+ABF(17 APR-30 JUN)
CENTARA GRAND BEACH RESORT (CHAWENG BEACH)    6,800/NIGHT+ABF(1 APR-30 JUN)
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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