Request Form

1. Holiday Requirements

Activities:

Please tick the types of activities and experience you would like.

Cities: *

Note: Please state specific places you want to visit or activities you want to you

2. Travel details

We need these details to provide the best holiday for you

Date of travel: *

Length of stay:

# of adults:

# of childrens:

Hotel required:

-Please select-Eastin HotelHilton Hotel

Hotel required:

-Please select-Air asiaMAS

Additional requirement:

Note: Please enter budget, flight details or any other requirements, this will help us design a better holiday for you

3. Personal information

Provide us with these details so we can get back to you as soon as possible

Name: *

Email: *

Phone: *

Nationality: *

-Please select-MalaysiaSingapore