Hotel Reservation Form

Personal Information
IMPORTANT! Pls furnish full name. Names furnished here will be the names used to register for the rooms.
Title	:
First Name	:
Family Name	:
IMPORTANT! Pls furnish complete email address so that our reply could reach you.
E-mail Address	:	(Correspondence E-mail address)
E-mail Address	:	(Second E-mail address. If any)
Fax No	:
Telephone No	:
Company Name (If applicable)	:
Correspondence Address	:
Country	:
Nationality	:
Reservation Details
Type of Rooms Required	:
Type of Bed	:
Number of Rooms Required	:
Number of Adults occupying room	:
Extra Bed (if required)	:	Yes No
Number of Children (if any)	:
Age of Children	:
Indicate here if more than 1 type of rooms are required. Please also furnish names of the guests for the additional rooms.

Indicate here for any special request (bed types preferred, connection room, etc)

Date of Check In	:
Date of Check Out	:
Flight Information
Flight Name and No. (Arrival) : Time:
Flight Name and No. (Departure) : Time :
Please indicate if airport pick up Service is required : Yes No
Please take a moment to let us know from where you get to know our site :

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Contact Address: RM 201/202, 2nd Floor, Summit Parkview Building, 350, Ahlone Rd. Dagon Tsp. Yangon, Myanmar. Tel : (++95-1) 211888, 211966 Ext : 201/202 Direct Line (++95-1) 212551, 210437 Fax : (++95-1)227980 Website : www.tharabargate.com, www.hoteltharabarbagan.com	Site Map

Personal Information