Langkawi Lagoon Resort

RESERVATION FORM

Welcome to our "Secured On-Line Reservation Form". To facilitate us in processing your reservation/s,
kindly provide details for all fields. Please allow us 24 hours to respond.

Title :
First Name (required) :
Last Name (required) :
Date of Check-in :
Date of Check-out :
Arrival Time :
Departure Time :
Hotel Rooms :
Number of rooms :
Packages Type :
Number of Packages :
MULTIPLE BOOKINGS
For reservations of multiple rooms and/or multiple packages, please insert information in the box below :

Number of guests :	Adult	Children

Children Age/s :

Extra Bed :			Yes No
Nationality :
Country Residence :
Purpose of Visit :			Pleasure Business Both

E-mail (required) :
Alternative Email :
Phone Number :
			Country / Area Code / Number
Emergency Contact :
			Country / Area Code / Number
Fax Number :
			Country / Area Code / Number
Handphone :
			Country / Area Code / Number

Address :
Other Requirements : (please specify)

MODE OF PAYMENT
We accept Credit Cards and Cash Payments to guarantee Bookings.
We do not debit your credit card online. The credit card details is required to guarantee your bookings.
All payments by Credit Card shall be verified and collected at the Resort/Hotel's Check-In/Check-Out Counter.

If you opt to guarantee your booking by cash payment, please refer to instruction below.

Method of Payment :
Cash :
Credit Card : (Please fill your card details below)

Payment By Credit Card
Card Type :
Name On Card :
Card Number :
Card Expiry Date :
Amex 4 digit no. :
Payment By Cash Within 24 hours and not later than 36 hours from submission of your Reservation Form, you shall receive the confirmation of your room/s; thereupon you are required to deposit into the resort/hotel's Bank Account the total amount for the first night of the total rooms reserved to the following Bank. Account Payable : Pujaan Pasifik Sdn. Bhd. Bank Name : Malayan Banking Berhad Account Number : 502072-140018 Bank Address : No. 5,7,9 & 11 Jalan Pandak Mayah 1, Pusat Bandar Kuah, 07000 Pulau Langkawi, Kedah Darul Aman, Malaysia. Upon making the said deposit you are to fax the Bank-In-Slip to the resort/hotel within the stipulated period stated in the confirmation letter, failing which your room/s shall be auto released without any further referral to you. You shall be advised of the resort/hotel's Fax Number in the confirmation letter. Please view our Cancellation Policy before submission.