5,700
5,900
7,700
7,900
18,000
1,000
Familienname :
Vorname :
Title :
Mr.
Mrs.
Ms.
Firma :
Telefonnummer Geschäft :
Telefonnummer Privat :
Fax :
E-Mail Adress :
Stadt :
Land :
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegowin
Botswana
Bouvet Island
Brazil
British Indian Ocean
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Repub
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islan
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Mal
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Terri
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-bissau
Guyana
Haiti
Heard and Mc Donald I
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republi
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic Peo
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democrat
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriy
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, The Former
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Isla
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Repu
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the
Spain
Sri Lanka
St. Helena
St. Pierre and Miquel
Sudan
Suriname
Svalbard and Jan Maye
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Repu
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Isla
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor O
Uruguay
Uzbekistan
Vanuatu
Vatican City State (H
Venezuela
Viet Nam
Virgin Islands (Briti
Virgin Islands (U.S.)
Wallis and Futuna Isl
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Staat :
Mobilnummer :
Gewünschter Zimmertyp :
Siam Chalet
Oriental Villa
Similan Pearl
Ankunft am :
Abfahrt am :
FLUGAUSKUNFT
Fluglinie / Flugnummer (Ankunft) :
Ankunftszeit :
Fluglinie / Flugnummer (Abreise) :
Abflugszeit :
Ihre Reservierung wird erst bestätigt, nachdem wir Ihren vollen Namen und Kreditkartennummer samt Ablaufdatum entweder per E-mail oder per Fax erhalten haben.
Khaolak Laguna Resort
26/8 Moo7 Petchkasem Str.
Khuk Khuk Takuapa
Phang-Nga Thailand
82190
TEL
FAx
E-mail
Visit
: +6 676 485 200-2
: +6 676 485 203
:
rsvn.khaolaklaguna@yahoo.com
:
www.khaolaklaguna.com
thai
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