Jirung Health Resort Chiang Mai - Spa Packages - Reservations Form
PERSONAL INFORMATION :
Important !!!
Please furnish full name.
Title - First Name - Last Name
Mr.
Miss
Mrs
*
Important !!!
Please 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 )
Fax No :
Telephone No :
Correspondence Address :
Country :
Nationality :
*
RESERVATION / BOOKING INFORMATION :
Types of package required :
• Please Select Packages •
VIP Package (For Two)
Jirung Eternal Harmony (For Two)
Jirung Life Synergy (1 pax)
Jirung Wellness Weekend (1 pax)
Jirung Wellness Weekend (For Two)
Eternity in Love / Honeymoon (For Two)
Cultural Kaleidoscope (1 pax)
Cultural Kaleidoscope (For Two)
*
Number of person (adult)s :
*
Indicate here if more than 1 type of rooms are required. Please also furnish names of the guests for the additional rooms
Indicate here for any special request (bed types preferred, connecting room, etc.)
Date of check in :
( i.e. January 1, 2005 )
Date of check out :
( i.e. January 1, 2005 )
Preferred payment method :
by Visa Card
by Master Card
by JCB Card
by Amex Card
Other ...
If you encounter any returned e-mail OR difficulties sending your booking details through this form, you may send your booking details to our help desk at our main reservation office at e-mail address
contact@e-biz-travel.com
At your services always !
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