Booking Information

Guest Name :
Email Address : Important!!
Nationality :
Address :
Telephone No :
Fax No :

   Booking Details

Types of Rooms Required :
Number of Rooms Required :
Number of Persons :
Please also furnish names of the guests for the additional rooms

 
Date of check in :
Date of check out :

   Flight Information

Flight name and no. (Arrival) :
Time of Arrival :
Flight name and no.(Departure) :
Time of Departure :

Indicate here for any special request eg: connecting rooms, non-smoking, extra bed, etc.

**Your credit card will be charged only if the rooms can be confirmed as requested above**

 
Card Type:
  Master Card VISA Card
Card Number:
     
Security Code:  ** (The Last 3 digits)
Expiry Date:  
Holder Name:  
Issuing Bank / agency & Country :
Please note your statement will be show in Local currency according to your Issuer Bank.

If you encounter any difficulties sending your booking details through this form, you may send your booking details to our reservation center at
Send an enquiry


Accommodation | Facilities | Room Rates | Promotion & Package
Reservation | Location Map | Contact Us

15 Moo 2, Chaweng Beach, Bo Phut, Koh Samui, Suratthani 84320 Thailand
Tel : (66 77) 231546-9, Fax : (66 77) 231196-7, E-mail : malibu@loxinfo.co.th

Bangkok Office Tel : (66 2) 255-0100-20, Fax : (66 2) 653-7992, 653-8048

 
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