Thailand

Package Name

Trip Start Date

Number of People

Arrival Airlines Name

Flight Number

Flight From

Personal Information

Title

First Name

Last Name

Email Address

Phone No.

Mobile No.

Mailing Address

Emergency Contact

Full Name

Phone number

Relationship

Email Address

Travel Insurance

Travel insurance is compulsory to take any adventure trip and it must be covered both medical & emergency evacuation with worth of USD 100, 000.00 minimum. However travel insurance is not mandatory for those travelers (s) who is intend cultural/city tours or short hike bellow 2500 meters of altitude.

I have full coverage of InsuranceNot yet bought (I will buy insurance later)My trip doesn't require travel insurance

Note: If you already travel insurance, Send us insurance company name, policy number and phone number in offical email.

Any Requests?

MoonLake Travels & Tours Pvt. Ltd.

THAILAND – BANKOK, PATTAYA & PHUKET

Personal Information

Emergency Contact

Travel Insurance

THAILAND – THE TIMELESS DESTINATION

Personal Information

Emergency Contact

Travel Insurance