Singapore Travel Package, Singapore - Reservation Form
PERSONAL INFORMATION
Important !!
Please furnish full name
First Name :
Mr.
Miss
Mrs
!
Last Name :
!
Important !!
Pls furnish complete e-mail address so that our reply could reach you
E-mail Address :
!
(Correspondence E-mail address)
E-mail Address :
(Second e-mail address, if any)
Telephone NO. :
Correspondence Address :
City :
Country :
• Please Select Country •
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, Democractic Republic of the
Cook Islands
Costa Rica
Cote D'Ivoire (Ivory Coast)
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia, The
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong S.A.R.
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Korea, North
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau S.A.R.
Macedonia, Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands Antilles
Netherlands, The
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua new Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts And Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia And The South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard And Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (US)
Wallis And Futuna Islands
Yemen
Yugoslavia
Zambia
Zimbabwe
!
Nationality :
RESERVATION / BOOKING INFORMATION
* Required Information
1st choice of hotel :
• Please Select Hotels •
Allson Hotel Singapore
Fort Canning Hotel
Garden Hotel Singapore
Golden Landmark Hotel
Grand Central Hotel
Summer View Hotel
!
2nd choice of hotel :
• Please Select Hotels •
Allson Hotel Singapore
Fort Canning Hotel
Garden Hotel Singapore
Golden Landmark Hotel
Grand Central Hotel
Summer View Hotel
!
Types of bed :
Single
Twin
Double
Triple
Number of rooms required :
1
2
3
4
5
6
!
Extra bed :
Yes
No
Number of person (adult)s :
0
1
2
3
4
5
6
7
8
9
!
Number of children (if any) :
0
1
2
3
4
5
6
7
8
9
Age of children :
Indicate here if more than 1 type of rooms are required
Please also furnish names of the guest for the additional rooms
Indicate here for any special request
(bed types preferred, connecting room, etc.)
Date of check in :
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selected <%end if%>>March
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selected <%end if%>>June
selected <%end if%>>July
selected <%end if%>>August
selected <%end if%>>September
selected <%end if%>>October
selected <%end if%>>November
selected <%end if%>>December
2005
2006
2007
!
Date of check out :
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selected <%end if%>><%=a%>
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selected <%end if%>>January
selected <%end if%>>February
selected <%end if%>>March
selected <%end if%>>April
selected <%end if%>>May
selected <%end if%>>June
selected <%end if%>>July
selected <%end if%>>August
selected <%end if%>>September
selected <%end if%>>October
selected <%end if%>>November
selected <%end if%>>December
2005
2006
2007
!
Preferred payment method :
• Please Select Card •
By Visa Card
By Master Card
By JCB Card
By Amex
FLIGHT INFORMATION
Arrival Flight :
Flight Name and No.
(i.e. TG 999)
Time of Arrival
(i.e. 5:30 p.m.)
Departure Flight :
Flight Name and No.
(i.e. TG 999)
Time of Departure
(i.e. 5:30 p.m.)
Please indicate if airport pick up service is required :
Yes
No
Please
contact us
if you encounter any difficulties sending your booking details through this form.
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