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Please fill in your reservation details in the form provided:

* denotes required information.

Personal Details
Title*
First Name*
Last Name*
Nationality*
Passport Number*
Email Address*
Telephone
Fax
Company/Organization
Correspondence Address*
Reservation Details
Room type required* select under room type et. ===1 person, 2 persons, ..
Number of room*
Extra Bed US$ 25.00
Baby Cot
Check-in date*   Flight No.   Time hh:mm
Check-out date*   Flight No.   Time hh:mm
Airport Transfer* yes  no  
Method of Payment* or Cash/Traveler's Cheque
Name of card holder
Special Requests

  

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2-12 François Nginn Street, Mixai Village, Chanthaboury District, P.O. Box 4148, Vientiane Capital, LAO PDR
Phone : +856-21-216 906 to 09 / 219 036 to 38, Fax : +856-21-216 223
Email : info@taipanhotel-vientiane.com     Website : www.taipanhotel-vientiane.com
 

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