Koh Samui Booking Form

NOT available to current members of the Absolute group.

To avoid your application being rejected please make sure of the following.

1. ALL sections of the form relating to EVERYEONE traveling are completed.
2. If Single then only ONE adult with or without children may apply.
3. If Married or living with someone as if married then BOTH parties MUST attend.

* (denotes required field)

Voucher Number:*

Sponsor (Where you got the voucher):*

Email Address:*

First Adults Title:*

Mr Mrs Ms Miss

First Adults Full Name: (First name and Family name.) E.g John Smith or Jane Doe etc.*

First Adults Date of Birth*

First Adult Nationality:*

First Adult Occupation:*

First Person Annual Income BEFORE tax:*

Nil $0-10k $10-20k $20-30k $30-40k $40-50k $50-75k $75-100k $100k+

First Adult Spoken Language:*

First Adult Second spoken Language: (Optional)

Second Adults Title:

Mr Mrs Ms Miss

Second Adults Full Name:(First name and Family name.) E.g John Smith or Jane Doe etc.

Second Adults Date of Birth

Second Adult Nationality:*

Second Adult Occupation:

Second Person Annual Income BEFORE tax:

Nil $0-10k $10-20k $20-30k $30-40k $40-50k $50-75k $75-100k $100k+

Second Adult Spoken Language:*

Second Adult Second spoken Language: (Optional)

Relationship of Adult 1 (and / or between adult 1 and 2):

Single Married De Facto (Living together as if married) Widow Friends (NOT ACCEPTED)

If married How many years:

Less than 1 1 2 3 4 5 6 7 8 9 10 10+

How many years have you lived together:

Less than 1 1 2 3 4 5 6 7 8 9 10 10+

Street Address (No PO Boxes):*

City / Town:*

State:*

Postcode / Zip:*

Country:*

Contact Phone Number:*

Are you a Home Owner:*

Yes No

Do you a Own a Credit Card:*

Yes No

Have you arranged to be at the same resort on the same dates with anyone using another voucher:*

Yes No

Are you a member of a vacation or holiday club:*

Yes No

Name of Club:

1st Child Travelling Title:

Mr Miss

1st Child Travelling Full Name:(First name and Family name.) E.g John Smith or Jane Doe etc.

1st Child Travelling Date Of Birth:

Relationship to person 1 or 2:

Son Daughter

2nd Child Travelling Title:

Mr Miss

2nd Child Travelling Full Name:(First name and Family name.) E.g John Smith or Jane Doe etc.

2nd Child Travelling Date Of Birth:

Relationship to person 1 or 2:

Son Daughter

Destination:*

Absolute Q Signature

1st Preferred check in date: (Saturday day check in)*

2nd Preferred check in date: (Saturday day check in) (Optional but preferred)

3rd Preferred check in date: (SATURDAY day check in) (Optional)

I have read and agree to the terms and conditions as listed on this website:*

Yes No

I am aware that I / we MUST attend a presentation on holiday ownership:*

Yes No

I / We are aware that failure to attend the presentation or providing false information on this booking form may result in the FULL RACK RATE being charged for the whole accommodation:*

Yes No

Once your dates availability is confirmed you are booked and your voucher redeemed:*

I understand No I want to cancel this request

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