Khách sạn Gold Coast Đà Nẵng

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Customer Information

Title
Mr Mrs Miss

Last name

First name

Second E-mail

Phone

Fax

Company Name(if applicable)

Nationality

City

Address

RESERVATION DETAILS

Check in

Check out

Room type

Room rate

Number of rooms

Peoples

Children < 6 years

Extra peoples

Nights

Total

Please also furnish names of the guests for the additional rooms

FLIGHT INFORMATION

Flight name and no. (Arrival)

Time of Arrival

Flight name and no.(Departure)

Time of Departure

Indicate here for any special request

Credit Card INFORMATION

Cardholder's Name

Card company

Card Number

Expiry date

Country

Please write down the the last 3 digits show on the back of the card

Billing Address

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Tell: +84 02363 955 955 - Fax: +84 02363 954 954

Mail: sm@goldcoasthotel.vn
sales@goldcoasthotel.vn

Hot line:
0914.431.955 Ms. Hòa
0914.031.955 Ms. Hòa

www.goldcoasthotel.vn