Flight/ Bus/ Boat Ticketing

From:

Departure Date:

To:

Return Date:

Number of Passengers:

Adult:

Child(2-11 Years)

Infant(<2 Years):



Contact Information
First Name:	*	Title:	*
Last Name:	*	Job Title:
Campany:		Zip Code:
Address:		City:
Country:		Fax Number:
Telephone:		Mobile Phone:
E-mail:	*	Age:
Bus Information
Destination:	* One Way (eg.REP-SGN)
Departure Date:	*
Return Date
Number of Passenger:
Service Request:



Contact Information
First Name:	*	Title:	*
Last Name:	*	Job Title:
Campany:		Zip Code:
Address:		City:
Country:		Fax Number:
Telephone:		Mobile Phone:
E-mail:	*	Age:
Boat Information
Destination:	* One way (eg.REP-SGN)
Departure Date:	*
Return Date:
Number of passenger:
Service Request:

K.U Travel & Tours
#38AB, Street 240 (conner street 19) Sangkat ChaktomukKhan Daun Penh, Phnom Penh, Cambodia
H/P: (855) 12515181, (855) 12 806 232 Tel: (855) 23 723 456
Fax: (855) 23 427 425 Email: info@kucambodia.com
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