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Prajaktra Design Hotel – Online Reservation Form

PERSONAL INFORMATION
Title:
Guest Name:  *
Email: * Important!! Please complete email address
Confirm Email:  *
Tel/Mobile No.:
Fax No. :
RESERVATION DETAILS

Hotel: Prajaktra Design Hotel – Udon Thani
Check-in Date: * Note : Checkin date must be 3 day prior today date
Check-out Date:  *
Room Type:  *
No. of Room:  *
No. of Persons: No. of Adult:
No. of Children: Children Ages:
Airport Pick-up: YesNo
Additional Information:
Indicate here if more than 1 type of rooms are required
Please also provide additional guest name for the additional rooms
Special Request:
FLIGHT INFORMATION
Flight Departure: Departure Time:
Flight Arrival: Arrival Time:
CREDIT CARD DETAILS FOR YOUR RESERVATION PAYMENT
Card Holder Name:
Credit Card Type: (Visa or Master Card only)
Credit Card Number:
CVV2/CVC2:  (Last 3 digits on the back of your card)
Expire Date: (Month/Year, Ex. 12/01)

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If you encounter any return email 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 email address : rsvn@prajaktrahotel.com

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