MALAYSIA TRIP
Travel Itinerary Request Form
Brief Details
Name
:
Email address
:
House phone
:
Office phone
:
Preferred Hotel
:
Room Type
:
Standard
Superior
Deluxe
Family
No of Rooms
:
1
2
3
4
5
Mean of Travelling
:
Air
Car
Bus
Train
Ship
No. of Adult Travelers
:
0
1
2
3
4
5
6
7
8
9
10
More than 10
No. of Children Travelers
:
0
1
2
3
4
5
6
7
8
9
10
More Than 10
Number of Day
:
0
1
2
3
4
5
6
7
8
9
10
More Than 10
Departure 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
1998
Tours Selection
Kuala Lumpur City Tour
Menara Kuala Lumpur
Sunway Lagoon
Mines Wonderland
Malacca
Cheng Hoon Teng's Temple
Malacca Sultanate Palace
The Stadhuys
Famosa
Sam Po Kang Temple
Pahang
Taman Negara
Malaysia's Island
Langkawi Island
Tioman Island
Kapas Island
Redang Island
Perhentian Island
Penang Island
Malaysia's Highlands
Fraser's Hill
Cameron Highlands
Genting Highlands
Special Instruction: