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  Customized Booking Form
 Customer Information
 Your name (*):
 Your email address (*):
 Confirm your email address (*):
 Country of residence:
 Telephone number:
 Facsimile Number:

 Trip Information
 Your tour name (*):
 Arrival Date (*):
 Expected Departure Date (*):
 How many adults are in your party (*)?:
 How many children are in your party and what age are they ?:
 How many days do you plan to spend in your trip (*)?:
 Port of arrival?:

 Where would you like to visit ?
  Ben Tre Chau Doc Rach Gia
  Cai Be Ha Tien Soc Trang
  Can Tho My Tho Tra Vinh
  Cao Lanh Phu Quoc Vinh Long
  Ho Chi Minh Ha Noi Phan Thiet
  Hue Da Lat Nha Trang
  Mekong Delta Sapa Hoi An
  Mai Chau/Hoa Binh Da Nang Dien Bien Phu
  Tay Ninh/Cu Chi Ninh Binh Ha Long Bay
  Angkor complex Phnom Penh Laos

 What means of your preferable transportation ?
  Airplane Car / Bus Train

 What type of travel style are you interested in ?
  Luxury & leisure Honeymoon Vacations Culture Experience
  Beach Relaxation Family Holiday Educational
  Cruise Adventure Expeditions Other:

 Accommodation details
 Hotel Category:
  Deluxe Superior Standard Budget
 Room Type:
  Suites Deluxe Superior Standard
 Room Configuration:
Single:     Double:     Twin:     Triple:     Extra Bed:

 What level of accommodation would you prefer?
  Standard (>30 US$) Superior (>50 US$) First class (>70US$) Deluxe (>100 US$) Luxury (>200 US$)

 Would you like us to include any meals in your itinerary ?
  Breakfast Lunch Dinner

Other requests:
                          Billing option:  
How did you know about us ?  


   Please Note: Fields with asterisks (*) are required.
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