• No. of guests ***

  1 adult 2 adults 3 adults 4 adults 5 adults 6 adults 7 adults 8 adults 9 adults 10 adults 11 adults 12 adults 13 adults 14 adults 15 adults 16 adults 17 adults 18 adults    0 Child 1 Child 2 children 3 children 4 children 5 children Age

• No. of Rooms ***

  1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Single bed Twin bed Double bed Triple bed     |   Extra bed

• Second choice hotel

  Please select alternative hotel ---

• Third choice hotel

  Please select alternative hotel ---

• Full Name ***

  Mr. Mrs. Ms. Dr.

• E-mail ***

• Contact Number

• Nationality ***

  Select your nationality Australia Canada France Germany Netherlands Sweden Thailand United Kingdom --------------------------- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Arctic Ocean Argentina Armenia Aruba Atlantic Ocean Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czechia (Czech Republic) Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea-Bissau Guinea Guyana Haiti Holy See (Vatican City) Honduras Hong Kong Hungary Iceland India Indian Ocean Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands Antilles Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norway Oman Pakistan Palestine Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia & Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Western Sahara Yemen Zambia Zimbabwe

• Country of Residence

  Select your residence Australia Canada France Germany Netherlands Sweden Thailand United Kingdom --------------------------- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Arctic Ocean Argentina Armenia Aruba Atlantic Ocean Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czechia (Czech Republic) Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea-Bissau Guinea Guyana Haiti Holy See (Vatican City) Honduras Hong Kong Hungary Iceland India Indian Ocean Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands Antilles Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norway Oman Pakistan Palestine Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia & Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Western Sahara Yemen Zambia Zimbabwe

• Extra

  Non-smoking room   |   Transfer Service

• Arrival time / Flight Ref

• Additional Requirement
  or more details

• .

Important Notes:
- Rates are inclusive of service charge, tax, and inclusive breakfast.

• Child under 12 years old sharing room with parents without extra bed is Free of charge, maximum 1 child per room.
• Breakfast for children 4-11 years old charge 100 THB per child.

Compulsory Gala Dinner on December 31, 2011

• 3000 THB per Adult
• 1500 THB per Child (4-11 years old)

Transfer Service

• Samui Airport / Hotel / Samui Airport charge 350 THB per trip (maximum 4 persons)
• Samui Pier / Hotel / Samui Pier charge 700 THB per trip (maximum 4 persons)