Personal Information:
 Name:  
 Age:  
 Sex: MALE FEMALE
 Nationality:

  Home Address:
 Street:
 City:
 Province/State:
 Country:
 Zip Code:
 Home Telephone No. Kindly include area code
 Fax: Kindly include area code
 Email:

  Business/Office Address:
 Company Name:
 Street:
 City:
 Province/State:
 Country:
 Zip Code:
 Business/Office Tel No.
 Fax:
 E-mail:

  BOOKING INFORMATION
 Arrival Date:
 Departure Date:
 Length. of stay: nights
 Arrival Time: AM PM
 Airline: PHILIPPINE AIRLINES AIR PHILIPPINES OTHERS Others:
 No. of rooms required:

 No. of Extra bed/s needed:

 Names of companions, their ages and nationalities:
  NAME / AGE / NATIONALITY: 1)

  Mode of Payment:
  CASH VISA MASTERCARD DINERS AMERICAN EXPRESS JCB BPI EXPRESS CREDIT FAR EAST CARD RCBC CARD UNICARD OTHERS
  Others:

  Card No:
  Expiry:

   Billing Address:
 

  TOUR ARRANGEMENTS AND OTHER SERVICES
 Do you need airport-hotel transfers? YES NO

  Other Comments: