Sign In
Sign-Up
Welcome!
Close
Would you like to make this site your homepage? It's fast and easy...
Yes, Please make this my home page!
No Thanks
Don't show this to me again.
Close
<script SRC="http://imgworks.adbureau.net/jserver/SITE=MYANMAR/AREA=TRAVEL/aamsz=468X60"></script> <noscript> <a href="http://imgworks.adbureau.net/accipiter/adclick.exe/SITE=MYANMAR/AREA=TRAVEL/aamsz=468X60/" target="_top"><img src="http://imgworks.adbureau.net/accipiter/adserver.exe/SITE=MYANMAR/AREA=TRAVEL/aamsz=468X60/" width="468" height="60"></a> </noscript> </center></p> <!-- End of Image Networks Banner Link Code --> <h2 align="center"><b><font face="Times New Roman" size="5" color="#0000CC">ABC Tour Pre-Booking Form</font></b></h2> <div align="center"> <table border="0" cellpadding="0" cellspacing="0"> <tr> <td valign="top" width="600" align="center"> <p align="center"><b><font face="Times New Roman" size="3" color="#9900FF">You may submit the pre-booking form to ABC Travel and Tour electronically. Please complete the form below. This should provide us with necessary information to help you. We will inform your requesting tour program as soon as possible via e-mail.</font></b> <p align="center"> </p> <center> <table border="0" cellpadding="0" cellspacing="0" width="431"> <tr> <td valign="top" width="429"> <blockquote> <form action="/cgi-bin/cgiemail" method="get"> <input type="hidden" name="cgiemail_required" value="Arival_Date:You forgot to enter the Arrival Date"><input type="hidden" name="cgiemail_invalid" value="You entered an invalid e-mail address"><input type="hidden" name="cgiemail_required" value="Depart_Date:You forgot to enter the Departure Date"><input type="hidden" name="cgiemail_required" value="Number_In_Group:How many persons in your group?"><input type="hidden" name="cgiemail_required" value="Email:You forgot to enter your e-mail"><input type="hidden" name="cgiemail_required" value="Contact_FAX:Please enter Fax number for your Package Tour Myanmar Visa"><input type="hidden" name="cgiemail_required" value="Contact_FullName:You forgot to enter your name"><input type="hidden" name="cgiemail_required" value="Contact_StreetAddress:You forgot yo enter your address"><input type="hidden" name="cgiemail_required" value="Contact_City:You forgot to enter city."><input type="hidden" name="cgiemail_required" value="Contact_State:You forgot to enter your State/Province."><input type="hidden" name="cgiemail_html" value="http://travelmyanmar.itgo.com/tour/success.html"> <p align="left">Destination <input name="Destination" size="36"></p> <center> <p>Package Number : <select name="Package_Number" " size="1"> <option selected value="--- Select One">--- Select One</option> <option value="Code No."> <option>SIL(01)</option> <option>SIL(02)</option> <option>SIL(03)</option> <option>SIL(04)1</option> <option>SIL(05)</option> <option>SIL(06)</option> <option>SIL(07)</option> <option>SIL(08)</option> <option>SIL(09)</option> <option>SIL(10)</option> <option>Other:</option> </select><br> </p> <p>For "other", please write your specific trip:<input name="Destination2" size="53"></p> <div align="center"> <table border="0" cellspacing="1" width="100%"> <tr> <td width="50%" bgcolor="#FFFFCC">Arrival Date : <blockquote> <p><input name="Arival_Date" size="8"> <em>-- mm/dd/yy</em></p> </blockquote> </td> <td width="50%" bgcolor="#CCFFFF">Departure Date : <blockquote> <p><input type="TEXT" name="Depart_Date" size="8" maxlength="8"> <em>-- mm/dd/yy</em></p> </blockquote> </td> </tr> <tr> <td width="50%" bgcolor="#FFFFCC">Arrival Time : <blockquote> <p><input name="Arrive_Time" size="8" maxlength="8"> <em>-- hh:mm</em></p> </blockquote> </td> <td width="50%" bgcolor="#CCFFFF">Departure Time : <blockquote> <p><input name="Depart_Time" size="8" maxlength="8"> <em>-- hh:mm</em></p> </blockquote> </td> </tr> </table> </div> <div align="center"> <table border="0" cellspacing="1" width="100%"> <tr> <td width="50%" height="10"></td> <td width="50%" height="10"></td> </tr> <tr> <td width="50%">Number In Group : <input name="Number_In_Group" size="5" maxlength="5"></td> <td width="50%">Number of Rooms : <input type="TEXT" name="Number_Rooms" size="5" maxlength="5"></td> </tr> </table> </div> <p>Please tell us what specific information we should know:</p> <blockquote> <p><textarea name="Specific_Info" rows="5" cols="35"></textarea><br> </p> </blockquote> <p>Please provide the following contact information:</p> <blockquote> <table width="256"> <tr> <td align="right" width="75"><em>*Name</em></td> <td width="167"><input type="TEXT" name="Contact_FullName" size="35"></td> </tr> <tr> <td align="right" width="75"><em>Address</em></td> <td width="167"><input type="TEXT" name="Contact_StreetAddress" size="35"></td> </tr> <tr> <td align="right" width="75"><em>Address (cont.)</em></td> <td width="167"><input type="TEXT" name="Contact_Address2" size="35"></td> </tr> <tr> <td align="right" width="75"><em>City</em></td> <td width="167"><input type="TEXT" name="Contact_City" size="35"></td> </tr> <tr> <td align="right" width="75"><em>State/Province</em></td> <td width="167"><input type="TEXT" name="Contact_State" size="35"></td> </tr> <tr> <td align="right" width="75"><em>Zip Code</em></td> <td width="167"><input type="TEXT" name="Contact_ZipCode" size="12" maxlength="12"></td> </tr> <tr> <td align="right" width="75"><em>Country</em></td> <td width="167"><input type="TEXT" name="Country" size="35" maxlength="12"></td> </tr> <tr> <td align="right" width="75"><em>Work Phone</em></td> <td width="167"><input type="TEXT" name="Contact_WorkPhone" size="25" maxlength="25"></td> </tr> <tr> <td align="right" width="75"><em>Home Phone</em></td> <td width="167"><input type="TEXT" name="Contact_HomePhone" size="25" maxlength="25"></td> </tr> <tr> <td align="right" width="75"><em>FAX</em></td> <td width="167"><input type="TEXT" name="Contact_FAX" size="25" maxlength="25"></td> </tr> <tr> <td align="right" width="75"><em>*E-mail</em></td> <td width="167"><input type="TEXT" name="Email" size="25"></td> </tr> </table> </blockquote> <p align="center"><small>Please, only press the < <font color="#FF0000">Submit</font> > button once.</small><br> <small>The process should take just a few moments. Please be patient.</small><br> <br> <script src="https://www.google.com/recaptcha/api.js" async defer></script><div class="g-recaptcha" data-sitekey="6LfwK08UAAAAAAbEJl9qBdkqAHVkrSZMxCF1kNyE"></div> <input type=submit value="Submit"> <input type="reset" value="Clear"></p> </form> </blockquote> </center></td> </tr> </table> </center></td> </tr> </table> </div> <div align="center"> <table border="0" cellpadding="0" cellspacing="8" width="637"> <tr> <td align="right" valign="top" width="619"> <p align="center"><b>[<a href="http://travelmyanmar.itgo.com/index.html">Home</a>] [<a href="http://travelmyanmar.itgo.com/tour.html">Tour Program</a>] [<a href="http://travelmyanmar.itgo.com/tour/price.html">Package Price</a>] [<a href="http://travelmyanmar.itgo.com/tour/pre_book.html">Pre-Booking</a>] [<a href="http://travelmyanmar.itgo.com/tour/conf_tour.htm">Confirm</a>] [<a href="http://travelmyanmar.itgo.com/tour/deposit.html">Deposit</a>] [<a href="http://travelmyanmar.itgo.com/tour/visa.html">Visa</a>]</b></td> </tr> <tr> <td align="right" valign="top" width="619"> <p align="center"><b><font size="-1">[ <a target="_self" href="/travel/yangon.html">YANGON </a>] [<a target="_self" href="/travel/mandalay.html"> MANDALAY </a>] [ <a target="_self" href="/travel/pagan.html">PAGAN </a>]</font> <font size="-1">[<a target="_self" href="/travel/taunggyi.html"> SHAN</a>]</font> <font size="-1">[<a target="_self" href="/travel/kyaukhtiyoo.html"> KYAUKHTIYOO]</a></font> <font size="-1">[ <a target="_self" href="/travel/chaungtha.html">CHAUNGTHA BEACH</a>] [ <a href="http://travelmyanmar.itgo.com/tour/car.html">RENTAL CAR</a> ]</font></b></td> </tr> <tr> <td align="right" valign="top" width="619"> <p align="center"><a href="http://travelmyanmar.itgo.com/brief.html"><img border="0" src="../But-1.jpg" width="150" height="26"></a><a href="http://travelmyanmar.itgo.com/m-map.html"><img border="0" src="../But-3.jpg" width="150" height="26"></a><a href="http://travelmyanmar.itgo.com/government.html"><img border="0" src="../But-5.jpg" width="150" height="26"></a><a href="http://travelmyanmar.itgo.com/embassies.html"><img border="0" src="../But-6.jpg" width="150" height="26"></a></td> </tr> <tr> <td align="right" valign="top" width="619"> <p align="center"> <a href="http://travelmyanmar.itgo.com/usefulinformation.html"><img border="0" src="../But-2.jpg" width="150" height="26"></a><a href="http://travelmyanmar.itgo.com/travel.html"><img border="0" src="../IMAGES/bar-tr.gif" width="150" height="24"></a><a href="http://travelmyanmar.itgo.com/tour.html"><img border="0" src="../IMAGES/bar-tou.gif" width="150" height="24"></a><a href="http://travelmyanmar.itgo.com/events.html"><img border="0" src="../But-4.jpg" width="150" height="26"></a></p> </td> </tr> </table> </div> <p align="center"><center><font size="-1" color="#191970"><b>Copyright© 2000 Shwe Inlay Co., Ltd.</b></font></center></p> <p align="center"> <!-- BEGIN Mailbonus.com BANNER CODE --><a href="http://www.mailbonus.com/index.cfm?ref=lelekyu@hotmail.com"><img src="http://www.mailbonus.com/images/revision/ads/mb_button_1b.gif" alt="Answer 3 Survey Questions and Win $4,500!" border="0" width="234" height="30"></a> <!-- END Mailbonus.com BANNER CODE --></p> <p align="center"> </p> </body> </html> <!-- PrintTracker Insertion Begin --> <script src="/fs_img/js/pt.js" type="text/javascript"></script> <!-- PrintTracker Insertion Complete --> <!-- Google Analytics Insertion Begin --> <script type="text/javascript"> <!-- var _gaq = _gaq || []; _gaq.push(['_setAccount', "UA-4601892-3"]); _gaq.push(['_setDomainName', 'none']); _gaq.push(['_setAllowLinker', true]); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); --> </script> <!-- Google Analytics Insertion Complete -->
