ContactForm01

Welcome to Country Lake online contact form. Please fully complete the application. Areas denoted by an asterix (*) are required information.

You can also contact us at rsvn@countrylake.net

We guarantee you that we will reply within 48 hours. However, we sincerely apologize for any delay which may incur due to uncontrollable circumstances.

RESERVATION DETAIL
Filling-out date	:	*

Check-in date	:	*
Check-out date	:	*
Room (s)	:	*
Adults per room	:
Children over 12 years of age	:
Extra Bed	:	Yes No

Personal Detail
Title	:
First Name	:	*
Last Name	:	*
Contact Email	:	* (Preferred email address where we can respond to your request)**
Nationality	:	*
Country of Residence	:	*
Phone	:
Fax	:
Special needs or Questions :

		(Please ensure that your EMAIL has been given)

or contact directly at our Bangkok Office:
Country Lake Co.,Ltd. 594/6 Asoke-Dindaeng Road Bangkok 10400 Thailand Tel : (662) 641-7433 Fax : (662) 641-7434 E-mail : rsvn@countrylake.net

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