Personal Information Note: Please fill up those fields marked with " * " Title: Mr. Mrs. Miss * First Name: * Last Name: * E-mail Address: * Telephone No: Fax No: Mobile Number: Company Name: Address:

Reservation Details Accommodation Type: Hotel Hotel Apartments * How many person occupying each room: Single Only Twin Sharing Triple * Required arrangements: Room Only Rooms with Breakfast * Budget per person: $US 80 - 100 $US 100 - 150 $US 150 - 200 $US 200 - Above * Location Preferred: Please Select Bandar Seri Begawan Jerudong Park Area Kuala Belait Type of Travel: ----- Please select ----- Leisure Business Transportation Requirements: None Airport - Hotel Hotel - Airport Airport - Hotel - Airport Suggest a hotel of your choice: Indicate here for any special request ( extra bed, bed types preferred, connecting room, etc.) : Date of check in: * Date of check out: *

After you send your reservation you will be answered by our qualified reservation staff as soon as we receive your Reservation or within 24 hours. If you have any difficulty sending your reservation please send e-mail at reserve@southtravels.comSeatTravel.com