Please complete the below form and click “Submit” to book a room or call Telephone  (+856 30) 516 0444/777 or  (+856 20) 553 2069/226 0079  Fax  (+856 31) 212 789. Email: info@khonephaphengresort.com

	Title:	*
	First Name:	*
	Family Name:	*
	Organization:	*
	Nationality:	*
	Passport Number:	*
	Street Address:	*
	City:	*
	Post/Zip Code:	*
	Country:	*
	Telephone:	* (with country and area codes)
	Fax:	* (with country and area codes)
	Email:	*
	Arrival Date:	*
	Arrival Time:	* (hh:mm hours)
	Flight Number:	*
	Check-in Date	* DD/MM/YY
	Check-out Date	* DD/MM/YY
	Number of Guests	*
	Please select at least one room type. You may select more than one
	Room Type Room Rate Number of Room Superior single/double $50.00/$55.00 US Twin $60.00 US
	Special Requests/Comments:
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