 |
|
As a valued customer your business is
very important to us. We will be glad to assist
you with any questions you may have regarding
your travel arrangements or our services. Please
feel free to contact us, and our knowledgeable
technical and customer support staff will gladly
help you with your inquiries
If you need urgent contact
with us, please kindly call us at
+84.91.2270058
|
|
Note: Fields marked with * are
required |
|
 |
| * Title: |
|
| * First Name: |
(As printed
on passport) |
| * Middle
Name: |
(As printed
on passport) |
| * Last Name: |
(As printed on passport)
|
| * Contact Address: |
(no P.O. Box) |
| * State: |
(US, Canada Only)
|
| * Country: |
|
| * Home Phone: |
(country code) - (area
code) - (telephone number) |
| * Work Phone: |
(country code) - (area code) - (telephone
number) |
| * Your Email: |
(must be correct)
|
| * Confirm Your Email:
|
|
|
 |
|
Name
of cruise / junk:
|
(1st choice)
|
|
Name
of cruise / junk:
|
(2nd choice
is optinal)
|
|
*
Pre & Post Cruise Tours:
|
|
|
In
Country:
|
(Vietnam,
Laos, Cambodia)
|
|
**
Describe
what activities (kayaking trekking), up/downstream
itineraries, pre & post cruise tours you are interested in and things you want
your trip to include and avoid
|
|
|
Number
of Adults
|
(Include yourself)
|
| * Number of
Children:
|
(from 5 to 11 years old)
|
| *
Embark on:
|
(ex: Aug 08th 2009) |
|
*
Disembark on:
|
(ex: Sep 09th 2009) |
| * Type of
Package:
|
|
|
*
Pick up location
(name
of hotel, residence)
|
|
|
 |
|
*
Other services should you need us to include
in the package (ie: accommodation, airport
transfer) |
|
Overview
Add to Favorites
Make Home Page