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(++66 74)750291,
(++66 74)750292,
(++668 1)640-7380,
(++668 6)940-7339
FAX:
(++66 74)750292
E-mail:
om@liperesort.com
Please fill in this form for your booking.
Room(s):
1
2
3
4
5
Extra Bed(s)
:
0
1
2
3
4
5
Check-in Date :
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2010
2011
Check-out Date :
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2010
2011
Prefix :
Mr.
Mis.
Mrs.
Dr.
Other
First Name:
Last Name:
Address:
Email:
Tel:
Fax:
3
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