PASSENGER DETAILS

Name Date of Birth Age 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82

PERSONAL INFORMATION

E-mail :
Name :
Home Phone No.
Other Contact No. (cell/pager)
Address :
Work Phone No.
Fax No. :
Company (if applicable) :

PAYMENT DETAILS

Cash  Credit Card  Check
Type of Check :	UnionBank Check Local Check Cashier's Check Manager's Check
Check No :
Preferred UnionBank Branch :	-- METRO MANILA --    MAIN OFFICE BRANCH  AGUIRRE  ALABANG TOWN CTR. KIOSK  ALFARO  AMORSOLO  ANNAPOLIS  AYALA  AYALA ALABANG  AGUIRRE  BACLARAN  BAESA  BICUTAN  BROADWAY  CAINTA  CUBAO-AURORA EAST  CUBAO-AURORA WEST  CUBAO-RUSTAN'S  DASMARIÑAS  DEL MONTE  DIMASALANG  DIVISORIA  DR. A. SANTOS  EDSA CENTRAL  ERMITA-PADRE FAURA  ERMITA-U.N. AVENUE  E. RODRIGUEZ  GIL PUYAT  GOTESCO-COMMONWEALTH  GREENBELT  GREENHILLS  YLAYA  J. P. RIZAL  JULIA VARGAS  KALOOKAN  KALOOKAN-10th AVENUE  LAS PIÑAS  MALATE  MARIKINA  MEDICAL CITY  MUÑOZ  MUNTINLUPA  NOVALICHES  ORTIGAS  PANDACAN  PARAÑAQUE  PASAY CITY  PASONG TAMO  PEREA  QUEZON AVE.-CAPITOL  QUIAPO  RADA  SALCEDO  SHAW MANDALUYONG  SHAW-PASIG  SOLER  STA. CRUZ  SUCAT JAKA Plaza  TIMOG  TROPICAL HUT KIOSK  VALENZUELA  VALERO  VITO CRUZ  WEST AVENUE  WEST SERVICE ROAD     --LUZON--    ANGELES  BACOOR  BAGUIO  BALIWAG  BATANGAS  CABANATUAN  CALAMBA  DAGUPAN  IMUS  LEGASPI  LUCENA  NAGA -GENERAL LUNA  OLONGAPO  SAN FERNANDO  STA. ROSA  TARLAC     --VISAYAS--    CEBU-BANILAD  CEBU-CARBON  CEBU-COLON  CEBU-FUENTE  CEBU-GORORDO  CEBU-JONES  CEBU-LAHUG  CEBU-LAPU LAPU  CEBU-MANDAUE  CEBU-MANGO  CEBU-P. LOPEZ  CEBU-SM  ILOILO IZNART-NORTH  TACLOBAN  TAGBILARAN     --MINDANAO--    CAGAYAN DE ORO-COGON  CAGAYAN DE ORO-LAPASAN  DAVAO-BANGOY  DAVAO-BANKEROHAN  DAVAO-RECTO  DAVAO-UNIVERSITY MALL  DAVAO-VICTORIA PLAZA  GEN. SANTOS-P. NORTH  ILIGAN  PAGADIAN  VALENCIA  ZAMBOANGA-PILAR

CREDIT CARD PAYMENTS

For Credit Card Payments please complete this form and then go to http://www.lakbay.net/creditcard.html and print and fax us the credit card form.

1. All Reservations should be made 5 Banking Days prior to your requested date to allow for processing of payments.
2. Fill up the reservation form with the necessary details.
3. Expect a response from Lakbay.Net within the day.
4. If your reservation is confirmed, make your payment at the counter of any UnionBank branch nearest you or go to http://www.lakbay.net/creditcard.html to pay using your VISA, MASTERCARD, JCB credit card.
5. Please keep the Payment Receipt issued to you by UnionBank. It serves as the proof of payment upon check-in.