Booking Form -

Burma-Thailand Railway

Please complete the form below. If you have any queries, email hwt@historicwartours.com.au .

Person (Primary) #1

First, Middle & Last Name as per Passport

Mobile Number

Passport Number

Nationality of Passport

Address

Post Code

State

Central Bangkok - Pick-up location

Central Bangkok - Return location

Please add "as above" if same as the pick-up location

How did you hear about us?

Group Special Requirements

Person #2

First, Middle & Last Name as per Passport

Passport Number

Nationality of Passport