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Hotel Booking Request Form
Thank you very much for the trust you place in Indochina Travel Service. For booking hotel, please fill in our form below. We will respond to you within 12 hours.
Don't like filling form? please email us directly.
Please Note: Fields with asterisks (*) are required.
Hotel Information
Hotel Name: Les 3 Nagas Boutique Hotel
City / Town: (*)
Check-in date:
Open the calendar popup.
(*)
Check-out date:
Open the calendar popup.
(*)
Number of rooms: Single:   Double:   Twin:   Extra bed: (*)
Room grade: (*)
Number of nights: (*)
Flight Ref & Arrival time:
Alternative hotel:
(In case the above hotel is not available)
Do you need airport transfer?
Guest Information
Contact person:   (*)
Email: (*)
No. of guests: Adult:      Children:    (for child under 12 only) (*)
Companions' name:
(Please write full names separated by a comma)
(if applicable please provide, so we can prepare the Hotel reservation more details)
Nationality:
Address where we can contact you
Tel / Fax:    
Additional Information
Remarks (special request for room, tour, flight booking):
What is your travel type?
How did you hear about us?
Important information about your payment
In order to secure your booking, a NON –refundable 10% (ten per cent) deposit of the booking cost with the minimum of USD100 per person is required. This amount will be charged directly to your credit card ONLY when your requested hotel and room(s) are confirmed; you will be notified by email. The balance must be paid at least 4 weeks (28 days) before check- in date.
Full payment will be required at this point of time if your booking cost is less than USD200 or if your booking date with us is less than 28days.
Cancellation and no show terms apply.
Terms & Condition.*
Check out and payment
* Debited Amount:
* Credit card type:
* Name on card:
* Billing address:
* Country:
* Credit card number:
* Card ID:
* Credit card Bank:
* Expiry date:
Billing option:*
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