Jim's Lodge

RESERVATION

DETAILS REQUIRED

NAME OF GUEST
ADDRESS
EMAIL ADDRESS
NATIONALITY
TYPE OF ROOM REQUIRED
NUMBER OF ROOM REQUIRED
PERIOD OF STAY	FROM TO
NUMBER OF NIGHTS
NUMBER OF ADULTS
NUMBER OF CHILDREN
REQUIRED TRANSFER TO HOTEL ON ARRIVAL:	Yes No (IF YES, PLEASE PROVIDE DETAILS OF FLIGHT)
ARRIVAL DATE
AIRLINE AND FLIGHT NUMBER
DEPARTURE FROM
ESTIMATED ARRIVAL TIME
REQUIRED TRANSFER TO AIRPORT ON DEPARTURE	Yes No
TRANSFER COST
FROM AIRPORT TO HOTEL	1-3 PERSONS BAHT 1000 4-6 PERSONS BAHT 1400
FROM HOTEL TO AIRPORT	1-3 PERSONS BAHT 900 4-6 PERSONS BAHT 1300

A CREDIT CARD IS REQUIRED TO GUARANTEE FOR THE RESERVATION

CARD NUMBER
CARD HOLDER NAME
EXPIRATION DATE