Name:
	Company Affiliation:
	E-mail Address:
	Booked by:

	Arrival Date:
	Flight No.:
	Estimated Time of Arrival (ETA):
	Departure Date:
	Flight No.:
	Estimated Time of Departure (ETD):

	Room Type: (Please indicate the number of rooms you want to reserve.)		Deluxe Family Superior Deluxe Junior Suite
	Number of Persons?		Adults Children (11 years old and below)
	Transfer?		Yes No
	Other Information:

	Name of Cardholder:
	Type of Credit Card:	American Express Diners Mastercard Visa Others
	Credit Card Number:
	Expiry Date: