Thaifocus - Tour Booking Form

since 1997

Thank you for your interest in our tour. Please complete the four steps below. We will send confirmation promptly. After this form is completed please wait for the auto-responder and then complete the credit card payment details.
You can use the Secure Credit Card form
If you prefer not to make payment via the internet please print out the CREDIT CARD FAX FORM and fax it to us.

Tour Choice:
Hotel Standard:	Select standard of hotel for tour. A is best. If you wish to add extra hotel nights before or after the tour please go to http://www.thaifocus.com/burma/hotels after you have booked.
Single Room Supplement:	Number of single occupancy rooms required.
Number of Adults:	If more pls place a comment in remarks
Number of children:	(Under 12 years old)
Date that you wish to take the tour
Diet Requirements.
Other special Needs/Request/Remarks May incur additional costs. We will advise this at the time of booking
How do you prefer to pay?

Contact Details: If you have a Thaifocus Travel Plus number (TF+), simply enter it in the box provided, fill in your email address then proceed to the next section. If you do not have a Thaifocus Travel Plus number, please fill in all requested contact details leaving the TF+ field empty. Forgot your number?
TF+ Travel Agent Membership # (if applicable)

Salutation:
First Name:
Middle Name:
Last Name:
Email address:
Email address (Again):	Please repeat - as we do get many incorrect entries. (If you have provided a free email address-such as hotmail or yahoo-please provide a permanent POP account email address)

Telephone:	/ (Area code/number)
Fax Number:	/ (Area code/number)

Nationality:	(as in passport)
Country of Residence:	I wish to receive your monthly newsletter!
Password:	Please repeat: *permits membership profile changes!

How did you discover Thaifocus?
What keywords did you use? (if found via search engine)
Comments about the Thaifocus site. Anything you would like us to add/change?

Final Step - Submit Your Details - Press the "Send" button only once and wait for the responder! Please be patient. It may take a few minutes. Do not press your back button whilst waiting for the responder! If you cannot get the message responder to work please email the details.

Press One Time!

*Form copyright Thaifocus � 1986-2008
209/2 Sridornchai Road, Muang, Chiang Mai 50310, Thailand, Tel: +66(0)53 818754, 818932, 818754Fax: +66(0)53 904033, 818755, 271681
info@thaifocus.com http://www.thaifocus.com