Customer Information
Customer Name  
Country:  
Passport No:  
Correspondence Address:  
Telephone:  
Fax  
Email  
Tee Time Reservation
Date:  
No. of Golfers:   
Tee-Off-Time:  
Rental Items
X   Please mark with X Quantity
  Club Steel (600 Baht)
  Club Graphite (1000 Baht)
  Soft Spike Shoes (180 Baht)
  Umbrella (80 Baht)
  Golf Chair (80 Baht)
Other Requirments:  
     
   
 
 
 
   
 
   
 
38 Moo 5 Vichitsongkram Rd., Kathu District,Phuket 83120, Thailand.
Tel.:(66 76)321 929-34 Fax:(66 76 )321 928
E-mail Contact: info@lochpalm.com