HOTEL RESERVATION FORM
Home » Hotel Booking Form
Please Note : Fields with asterisks (*)are required.
Check In Date (*)  
Check Out Date (*)  
Room Category (*)  
 
Twin Bed Double Bed
  
Number of Room (*)  
     

Guest Information
Title: Surname : Given Name :
(*) (*)
E mail Address Nationality:
(*) (*)
   
Arrival Date : Arrival Time Arrival Via :
 Flight Number : From :  
 
 Pick up Request : Pick up Number of Person : Number of Bag :
   
Remark(Please offer your phone contact if available):  

If your party consists of more than one guest, please provide all the other guest names here and seperate them by comma (,)

 
   
Independence Hotel
Address:
Street 2 Thnou, Sangkat No: 03, Khan Mittapheap,
Sihanoukville, Kingdom of Cambodia

 

 

Telephone Number
: +855 (0)34 934 300 - 301
Mobile Phone
: +855 (0)12 72 80 90
Fax Number
: +855 (0)34 934 660

 

 

Official website : www.independencehotel.net

Email : info@independencehotel.net | reservation@independencehotel.net