Booking Form -

Burma-Thailand Railway Pilgrimage

Please complete the form below. If you have any queries, email hwt@historicwartours.com.au .

Person (Primary) #1

First, Middle & Last Name as per Passport

Mobile Number

Date of Birth

Passport Number

Nationality of Passport

Address

Post Code

State

Central Bangkok - Pick-up location

Central Bangkok - Return location

Please add "as above" if same as the pick-up location

HOTEL/RESORT DETAILS

Single Rooms Required

A single room has a queen or king size bed for a ONE person occupancy

Double Rooms Required

A double room has a queen or king size bed for a TWO person occupancy

Twin Rooms Required

A twin room has two single bed for a TWO person occupancy

OTHER INFORMATION

How did you hear about us?

Group Special Requirements

Person #2

First, Middle & Last Name as per Passport

Date of Birth

Passport Number

Nationality of Passport

Person #3

First, Middle & Last Name as per Passport

Date of Birth

Passport Number

Nationality of Passport

Person #4

First, Middle & Last Name as per Passport

Date of Birth

Passport Number

Nationality of Passport

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