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Reservation Form - Cambodia
 

  

Arrival Date Required nights Persons
Month Day Year Nights Rooms Adults Childs

   Program / Hotel Name:
  

  Your Name:
 

  Country:
 

  Address:
 

  Your e-mail   (Please double check!)
 

 Services required / Comments:
 
  

Credit Card:


Name on credit card:
  

Card number:


Valid til:
/

 

"I understand and accept that eventual cancellation fees imposed by the hotel in case of short-term cancellation from my side will be charged to my credit card"  

Please type "YES" to accept 
(in capital letters):

 

If you prefer to send credit card details by fax, you may do so by printing this form out and sending it to the following fax number:  

Lolei Travel Cambodia, Watdamnak Village, Salakomreurk, P.O. Box: 93116
Siem Reap, Kingdom of Cambodia
Tel.: (++855 63) 96 47 32
Fax: (++855 63) 76 01 63
Mobile: (++855 12) 80 60 33
License of Ministry of Tourism:
KH 138/01MOT for Phnom Penh & KH 139/01MOT for Siem Reap.

   

 

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