--The Havelock Place Bungalow--



	BOOKING FORM:

	Family Name :
	Other Name :
	Other Name 2 :
	Street Address :
	Town :
	State :
	Country :
	E-mail Address :
	Type Of Room Required :
	No of Persons :
	No of Children :
	Childrens age :
	Arrival Date :
	Arrival Time :
	Departure Date :
	Other Services Required :
		Airport Pickup
		Extra Bed
		Massage
	Others :

	Contact Details :-
	Havelock Place Bungalow,
	No: 6-8, Havelock Place, Colombo - 05
	Sri Lanka.
	Tel :- +94 (11) 2585191, Fax :- +94 (11) 2584655