Personal Details ( * Required )
   
Mr. Mrs. Miss
First Name
Last Name
Email Address 1
 **required
Email Address 2
 **required if any
Telphone Number
  
Fax Number
Company Name
 ** If applicable
Nationality
 **as in Passport
Country of Residence
 (Where are you now?)
Important!! Pls furnish complete email address so that our reply could reach you !!!
Booking Details ( * Required )
   
Date check in
Date check out
Types of rooms  required
Type of Bed
Type of Rate
  No.of rooms required:
No.of persons required:
No.of Child:
Ages of Children:
Non Smoking Required
Yes No
Indicate here if more than 1 type of rooms are required
Please also furnish names of the guests for the additional rooms

Flight Details
Airport Transfer Required
 Yes No
Flight name & no.(Arrival)
   Time of Arrival
Flight name & no.(Departure)
Time of Departure 
CREDIT CARD DETAILS SECTION
Credit Card Holder Name :  
Credit Card Type :  
  
Credit Card Number :
 
***The last three digit numbers appearing on the signature panel 
Credit Card Expiration Date : [month/year] /  
  
   

Remark: You will be informed of the status of your reservation within 24 hours after this form has been submitted. Thank you and we wish you a pleasant journey.

For further information please contact us at rsvn@diamondcitypattaya.com
513 Moo 10, South Pattaya, Cholburi 20260, THAILAND
Tel. (66 0) 3842-0522-3 Fax. (66 0) 3842-0560