SRI LANKA & MALDIVES ONLINE BOOKING FORM
Fields marked (*) are required
First name:*
Last name:*
Title:
Number of adults:
Number of children under 12 years:
Address:
City:
County:* Please Select Other Country Afghanistan Albania Algeria Angola Anguilla Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bangladesh Barbados Belarus Belgium Belize Bermuda Bhutan Bolivia Bosnia Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Cambodia Canada Central African Republic Chad Chile China Colombia Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Dominica Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Grand Cayman Greece Grenada Guadeloupe Guam Guatemala Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea - Democratic Peoples Kuwait Kyrgyzstan Laos Peoples Democratic Rep Latvia Lebanon Lesotho Liberia Libya / Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Island Malawi Malaysia Mali Marshall Islands Martinique Mauritania Mauritius Island Mexico Micronesia Moldova Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Republic Of Cameroon Republic Of Cape Verde Republic Of Ireland Republic Of Korea Republic Of Yemen Romania Russia Saudi Arabia Senegal Seychelles Islands Sierra Leone Singapore Slovakia Somalia South Africa Spain St. Kitts St. Lucia St. Vincent And Grenadines Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan - Province Of China Tajikistan Tanzania - United Republic Thailand Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands USA U.S. Minor Outlying Islands US Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Venezuela Vietnam Yugoslavia Zaire Republic Zambia Zimbabwe
Your e-mail:* (Please double check for correctness, otherwise we may not be able to reply)
Your desired hotel / program name:* (Please specify the exact services you wish to book)
Number of rooms required: (Please specify category and occupancy as single room, double room or double room with extra bed)
Arrival Date:*
Flight number and arrival time:
Departure Date:*
Alternative hotels in case first choice is not available:
Please kindly let us know from which search engine, advertisement or other sources you have heard about asiatours.net:
Credit Card: Visa Card Master Card American Express Name on credit card: Card number: Valid till: 01 02 03 04 05 06 07 08 09 10 11 12 / 2006 2007 2008 2009 2010 2011 2012
Additional 3 digits from card back side:
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: Fax: +94 11 288 44 33
"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):
All programs are organized by ASEATICA Tours & Services (Pvt) Ltd. / Sri Lanka Royal Park, 115 Lake Drive, Rajagiriya / Colombo, Sri Lanka e-Mail: info-a[email protected] Fax: +94 11 288 44 33