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Personal Contact Information:
Name :
*
E-Mail :
*
Address :
Telephone :
Reservation Information:
Room Type :
Room Type
Cage S Economy
Cage M Standard
Cage L Superior
*
Check- In :
Month
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*
Check-Out :
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
01
02
03
04
05
06
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*
Number of Nights :
Number of People :
Tranfer Services:
Please meet me at:
Phuket Airport
Phuket Bus Station
Other (Please describe below)
Flight Number :
Arrival Time :
Arrival Date :
No Thank You, I will arrive on my own
Preferred Method of Payment:
Cash
Bank Transfer
VISA
Master Card
Western Union
AMEX
JCB
Diners
Please type any additional information or requests here:
The Bird Cage–Patong Guesthouse
6/1-3 Rat- U-Thit 200 Pee Road, Patong,
Kathu, Phuket 83150, Thailand
Tel.
(66) 076 293 196-7
Fax.
(66) 076 293 197 Posh
M.
(66) 81 989 5487
E-mail:
v_choosri@hotmail.com
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