Koh Naka Retreat
Rental Enquiry Form
 
 

Please complete this form without obligation. We will do our best to respond within 24 hours or sooner. Required fields are marked with an asterisk *. 
 
 
Subject 
Name *
Email Address * 
Retype Email * 
Address *   
Zip or Postcode * 
Country *
Phone (Day) 
Phone (Eve) 
Number of...*
Adults    Children 
 
Ages of...*
Child 1  Child 2  Child 3  Child 4 
 
Arrival Date*
 
Departure Date*
 
Nights...   
 
Please help us market more effectively by answering the following two questions, thank you.
How did you find us?
Internet Search Term used? 
Please tick whichever of these statements apply so that we may provide you with the fullest information    
We are on Honeymoon, Second Honeymoon or just 2 persons travelling. Please send details of special rates.
We can travel at short notice and arrive within ten days of this enquiry. Please send details of special late booking discounts.
We prefer just to relax on the island.  No (or few) sightseeing trips, activities etc. 
We would like to engage in sightseeing trips and activities. We have listed our interests in the comments box below.
We would like your staff to prepare delicious meals for us during our stay.
We prefer to bring our own consumables to the island and to self-cater.
We  would like to stay for one month or more.   Please quote your long-stay rates.
We have specific security and privacy requirements. Please contact us about this.
 
Comments and 
Special 
Requests
 
 
 





 
 
 
 
 
 
 
 
 
 
 
 
 
 
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