Unico Leela Hotel - Hotel Bangkok

RESERVATION FORM

PERSONAL INFORMATION
IMPORTANT!! Pls furnish full name. Names furnished here will be the names used to register for the rooms. We require one name per one room. Pls re-submit if more than 3 rooms are required
1ST ROOM
Title
Other Name		Family Name
2ND ROOM
Title
Other Name		Family Name
3RD ROOM
Title
Other Name		Family Name
IMPORTANT!! Pls 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 )
Telephone No
Fax No
Company Name		(If applicable)
Correspondence Address
Country of Residing
Nationality
RESERVATION DETAILS
Total number of rooms required		*
Total number of Adult(s)including yourself
Age of Children
Total number of Children travelling with you
Types of Rooms Required		*
Types of Bed Required		*
Indicate here if extra Bed is needed		Yes No
Indicate here for any special request ( bed types preferred, connecting room, etc.)
Date of check in
Date of check out
FLIGHT INFORMATION
Flight name and number (Arrival)
Time of Arrival
Flight name and number(Departure)
Time of Departure

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 sales@unicoleelahotel.com

At your services always !