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Company Name*

Country of registration: *

Years of operation:*

Number of Employees:*

Head office address: *

Tel *

Website address (URL): *

Director's First Name: *

Director's Last Name *

Director's Full Name * This field is automatically filled. Please make sure to fill out the Director's First Name and Director Last Name

Email address:*

Tel*

Mobile *

Credit card facilities:
With
Without

Commission % requested: *

Business Registration or Company Registration *

Please submit documents in pdf or doc format

Name: *

Title/Designation: *

Email address: *

Tel *

Mobile *

Promoted destinations for villa stays:
Phuket, Thailand
Koh Samui, Thailand

Approximate number of nights booked under your company per year: *

Where is your market from? *

Do you offer concierge service:
Yes
No