ROYAL NIRVANA

Home Resorts Locations About Koh Samui About Us Specials

Please tick the relevant boxes:


Have you ever stayed at Beach Republic The Residences (formerly Lamai Villas) before?*
Yes	No


What languages do you speak and understand fluently?*
English Mandarin Japanese	Thai Cantonese Other


What package do you wish to purchase?*
Royal Nirvana Golf Discovery Royal Nirvana Sea Safari Royal Nirvana Spa Relaxation


How long would you like to stay with us?* (2 night, 3 day not available on Royal Nirvana Sea Safari)
2 Nights, 3 Days 3 Nights, 4 Days 6 Nights, 7 Days


Are you a Homeowner?*
Yes	No

Persons traveling:


Name*

Date of Birth*

Husband or Wife Name*

Date of Birth*

City*

E-mail*


Children under 18 travelling with you (max. 2)
Name Age
Name Age

Marital Status*
Married Living together as a couple In a relationship, but not living together Single Divorced Widow


If Living together as a couple, number of months living together


What is your nationality?*



What is the nationality of your partner?*



What is your occupation? *



What is your partners occupation?*



Months and dates you would like to travel? (please give alternative dates)*
FIRST CHOICE*
IN
OUT

SECOND CHOICE
IN
OUT

Dont know yet

Terms and Conditions


1. The Royal Nirvana Samui Getaway is available only to couples, aged 28 to 65, married or living together for at least one year with a combined monthly income of over US$3,500. (If you are single, please contact us. We may have other special offers for you).
   
2. Both parties must be able to fluently speak and understand either English or Thai.
   
3. The recipient of the Royal Nirvana Samui Getaway agrees to attend a tour of a Royal Nirvana Resort. The tour is approximately one hour in duration and is designed to promote ownership. There is absolutely no obligation or pressure to buy.
   
4. Should the recipient (either party) fail to attend the tour, they agree to pay the full value of the package based on the published rates listed at beachrepublic.com or darasamui.com.
   
5. By submitting the booking form, the recipient of the Royal Nirvana Samui Getaway confirms that the information provided is truthful and accurate.
   
6. Excluded from this offer are existing Royal Nirvana Private Residence Club members, anyone who has attended a tour of Royal Nirvana Private Residences Club in the past 12 months, and employees of Royal Nirvana.
  
7. Airfares, meals (aside from breakfast) and incidentals such as phone calls and gratuities are not included and are the responsibilities of the guest.
  
8. Cancellation Policy- Fewer than 14 days until date of check in, NO REFUND. More than 14 days until date of check in, 50% refund.

By ticking this box, I declare to have read and accepted the terms and conditions.

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