Guest Name	*
Country	*
Telephone Number
E-mail	*
Fax Number
	Arrival Date/Time/Flight *
	Departure Date/Time/Flight *
	I would like to make reservation for: Land Package for 2D/1N FREE & EASY (CL-1A) Land Package for 2D/1N FREE & EASY + TOUR (CL-1B) Land Package for 2D/1N HALF BOARD (CL-1C) Land Package for 2D/1N FULL BOARD (CL-1D) Land Package for 3D/2N FREE & EASY (CL-2A) Land Package for 3D/2N FREE & EASY + TOUR (CL-2B) Land Package for 3D/2N HALF BOARD (CL-2C) Land Package for 3D/2N FULL BOARD (CL-2D) Sea Package for 2D/1N ISLAND HOPPING (CS-1A) Sea Package for 2D/1N FISHING (CS-1B) Sea Package for 2D/1N FISHING + ISLAND HOPPING (CS-1C) Sea Package for 2D/1N PAYAR ISLAND + SINGA ISLAND (CS-1D) Sea Package for 3D/2N ISLAND HOPPING (CS-2A) Sea Package for 3D/2N FISHING (CS-2B) Sea Package for 3D/2N FISHING + ISLAND HOPPING (CS-2C) Sea Package for 3D/2N PAYAR ISLAND + SINGA ISLAND (CS-2D) Note : RM 15 per persion per night surchage applies on the peak dates as specified in the Hotel Calendar
	Additional Night Inclusive Of Breakfast : Single/Twin (2 persons) RM 85 nett per room Triple (3 persons) RM 115 nett per room Quad (4 persons) RM 145 net per room Breakfast For Child RM 7 nett per child
Note : Surcharge of RM 20 applies on peak dates as determined by the Hotel Calendar Hotel Calendar 2001 * Online reservations are available for the following dates : September : 2-6, 9, 16-19, 22-30 October : 1-6, 14-31 November : 1-2, 4-30 December : 1-31 * * Peak rates apply on : September : 9-18 November : 9-30 December : 1-31 and other dates as determined by the Hotel
Package summary (please state) :
Total Rooms Taken : * Total Pax : * Adult * Child (12 yrs) * According to the following room sharing basis :
Twin :	Adult	Child
Triple :	Adult	Child
Quad :	Adult	Child
Single :	Adult	Child
Extra Night :
Optional Arrangements
All confirmation must be accompanied with full payment. Please select.
Full Payment By Cash Deposit / Telegraphic Transfer (TT) to : Bank : Malayan Banking Berhad (Maybank) Hotel Account Name : LASER RESOURCES S/B Account Number : 002072-118609 Then please fax the Bank-In-Slip to 6-04-9667385 Credit Card : I will fax my credit card details to 604-966 7385 Credit Card : Please charge the full amount to my credit card Card Holder's Name Type of Credit Card (Master/Visa) Credit Card Number Expiry Date Card Billing Address   Merchant Name which will appear on Cardholder's statement : (Laser Resources S/B or Langkawi Online) Submission of your booking/request shall be deemed to be IRREVOCABLE AUTHORIZATION by you for Hotel Eaglebay Langkawi to book the Room and Optional Arrangements immediately on your behalf and charge your credit card for full payment upon receipt of the Supplier's confirmation of the availability of your requested arrangements.