Wish to reserve spaces for Kok Chang Safari ...

Please fill out the form below and submit to us in advance. If you have any additional questions, request and information, please type in "Message Box". As soon as you are settled in Phuket within our business hours which is between 6:00am and 6:00pm, please call to Richard at 081-893-4686 to confirm your arrival and room number.
If you are already in Phuket and would like to reserve Kok Chang Safari visit, please call to above number instead of submitting this form nor sending e-mail as we are NOT necessarily on the computer around clock.

Reservation Form for Kok Chang Safari

Reservation Form for Kok Chang Safari

*Personal Information.... Required to fill all information.**
Name:
E-mail:
Name of Tour you wish to reserve:
Date you wish to reserve:
Full Name of Registered Person at the hotel:
Full Name of 2nd Person registered at the hotel:
Nationality:
How many Adults in your group:
How many Children in your group:
Proper Hotel Name:
Telephone number of the Hotel:
Arrival Date and Time:
Departure Date and Time:
Message Box (additional questions, request & information)