Flight Reservation Form


Address *
City *
State (USA)		Province
Zip Code *
Country *
Tel. No. (Home) *	Country/Area/Number	Fax. No. (Home)	Country/Area/Number
Tel. No. (Office)	Country/Area/Number	Fax. No. (Office)	Country/Area/Number

Guest flight details

Cabin Class *

Trip Type

One Way Return

Airlines

Departing From *

Going To *

Departure Date

Approx. time

Return Date

Approx. time

Rates Calculated in Thai Bath

Cost per Ticket*

How many ticket*

Passenger Info

Name of passenger	Passport ID	Nationality

Child (2 to below 12 yrs), Infant (Under 2 yrs)*

Comment

How would you like to receive the tickets ?
Postage/ Shipping	Pick up at Charlie Connection Travel & Tour
	300 Baht per shipment overseas address
	40 Baht for Thailand address via secure potage/EMS. (total)
	600 Baht delivery at Bangkok airport (total)
Address :

Total = Ticket cost x tickets + postage (automatically calculated)
Date you wish to receive/pick up tickets
Total Cost

* indicate required fields

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Charlie Connection Travel & Tour - CCT & T Co., Ltd.
Address: 44 Samsen Rd., Pranakorn Bangkok 10200 Thailand.
Email: info@travelconnecxion.com

Phone: +66 2 629-4262 FAX: +66 2 629-1563

Accepted Credit Cards

Authorized Travel Agent by Tourism Authority of Thailand

License No. 12/998

E-Commerce Registeration Number 0105545121994
IATA Accredited Agent: 353 0768 3