*
denotes
fields which must be completed
Title*
Mr
Mrs
Ms
Miss
Dr.
Family
Name (Surname)*
Given
Name (s)*
Passport
Number
Date
of Birth
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02
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FEB
MAR
APR
MAY
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JUL
AUG
SEP
OCT
NOV
DEC
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1900
Email*
Email (please re-type)*
Address
Line One
Address
Line Two
Address
Line Three
City
County
/ State
Postal
Code / Zip Code
Country
Afghanistan
Albania
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American Samoa
Andorra
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Anguilla
Antarctica
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Ocean Territory
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Guinea-Bissau
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Islands
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of)
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Democratic Republic
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Mayotte
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Islands
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Pitcairn
Poland
Portugal
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Romania
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and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak
Republic)
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
Suriname
Svalbard and
Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United
Republic of
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos
Islands
Tuvalu
U. S. Minor Outlying
Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis And Futuna
Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
other
Number
of Rooms*
1
2
3
4
5
Smoking
or Non Smoking*
Yes
No
Single
/ Double / Twin*
Single
Double
Twin
Check
IN Date*
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
2004
2005
Check
OUT Date*
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
2004
2005
Room
Category*
Value the Experience - Deluxe Room - US$ 220++
Value the Experience - Grand Deluxe Room - US$ 230++
Value the Experience - Balcony Room - US$ 265++
Value the Experience - Deluxe Suite - US$ 340++
Value the Experience - Grand Deluxe Suite - US$
360++
Promotional Rate - Deluxe Room - US$ 210++
Promotional Rate - Grand Deluxe Room - US$ 220++
Promotional Rate - Balcony Room - US$ 255++
Promotional Rate - Deluxe Suite - US$ 330++
Promotional Rate - Grand Deluxe Suite - US$ 350++
Rates
are subject to 7.7% government tax and 10% service charge
Rates
are per room per night.
All packages
valid
until 30 September 2005
'Value
The Experience Package'
Rates
are for single or double occupancy and per room per night. All
reservations are subject to availability. Rates
including
Daily full breakfast, complimentary newspaper and free pressing
of one garment upon arrival.
'Romance Package'
Rates
are for single or double occupancy. All reservations are subject
to availability. Price per night. A minimum stay of two
consecutive nights. Rates
including
Chauffeur-driven round-trip Mercedes-Benz S Class airport
transfer, Daily full breakfast, Romantic Set Dinner for two in
Jesters (once per stay), 20% discount on all beauty and massage
treatments and welcome gift upon arrival.
'Business Traveler Package'
Rates are for single or double occupancy. All reservations are
subject to availability. Price per night. A minimum stay of two
consecutive nights. Rates
including
Chauffeur-driven round-trip Mercedes-Benz S Class airport
transfer, Daily full breakfast.
'River
Retreat Package'
Rates are for single or double occupancy. All reservations are
subject to availability. Price per night. A minimum stay of two
consecutive nights.
Rates
are
including
Chauffeur-driven round-trip Mercedes-Benz S Class airport
transfer, Daily full breakfast, Afternoon tea for 2 person (once
per stay), 20% discount on all beauty and massage treatments,
20% discount Contemporary Asia Gifts & Homeware at Cocoon Shop,
3-day Sky train pass for 2 persons (unlimited journeys).
Airport
Pick up
Yes
No
Arrival
Flight Details
Departure
Flight Details
Special
Requests
Credit
Card Details*
American
Express
Diners
Club
Master
Card
Visa
Credit
Card Expiry Date*
Credit
Card Number*
Full
Name on Credit Card*
*
denotes
fields which must be completed