The Frangipani Langkawi Resort & Spa
Reservation Form
Title:
:
Mr.
Mrs
Ms.
First Name
:
Last Name
:
Email Address
:
Contact Phone
:
Contact Fax
:
Passport No. (non-Malaysian)
:
Nationality
:
Preferred Room Type
:
Standard
Superior
Deluxe
Extra Bed
:
0
1
2
Extra Mattress
:
0
1
2
No. of Rooms
:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
No. of Adults
:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
No. of Children
:
0
1
2
3
4
Arrival Date
:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
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22
23
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25
26
27
28
29
30
31
2007
2008
2009
2010
2011
2012
2013
Arrival Time
:
01
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04
05
06
07
08
09
10
11
12
:
00
01
02
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06
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59
AM
PM
Departure Date
:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
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26
27
28
29
30
31
2007
2008
2009
2010
2011
2012
2013
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