Reservation Form

To reserve a hotel room and tour with Lom’Lae Beach Resort please complete the booking form below. Your request will be confirmed via email as quickly as possible. The booking terms and amount due will be contained within this email.

PERSONAL INFORMATION
Your Name
(First Name/Surname) :
Email Address :
Phone :
FAX :
Address :
Country :
Nationality :
   
HOTELS RESERVATION DETAILS
Number of rooms required :
Number of Persons :
Extra Bed : Yes No ( if required )
Number of Children :
Age of Children :
Check In Date :
Check Out Date :
   
   
FLIGHT DETAILS
Flight name :
Flight no. (Arrival) :
Time of Arrival :
Flight no.(Departure) : 
Time of Departure :
Please indicate whether airport pick-up is required : Yes No
   
Please let us know how you heard about us :



For further information please do not hesitate to contact us.
 
 
Lom'Lae Beach Resort
P.O. Box 9, Koh Yao Noi, Phang-Nga Thailand 82160
Tel & Fax :(+66) 076 597-486
Mobile Phones: (+66) 089-868-8642, (+66) 081-958-0566
Email address : info@lomlae.com  Website: www.lomlae.com


TAT. No. 33/2532
Insurance No.0267012342
                (C)2005 Lom' Lae Beach Resort l. All rights reserved.  Designed by Rachada Srepaotong