Contact Us Title Mr Mrs Miss Ms Forename Surname Email Telephone (Day) Telephone (Eve) Mobile Number of Passengers Adults 0 1 2 3 4 5 6 7 8 9 10 Children** 0 1 2 3 4 5 6 7 8 9 10 Infants*** 0 1 2 3 4 5 6 7 8 9 10 Departure Airport Any London (Heathrow) London (Gatwick) East Midlands Birmingham Intl Flight Class Any First Business Economy Departure Date* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2010 2011 2012 Flexibility No flexibility 3+/- days 5+/- days 7+/- days Duration Interested Destinations How did you find us? Notes Preferred Contact Method Any Telephone Mobile Email ** - the number of children under 12 years old *** - the number of infants under 2 years old

Simply Malaysia,Simply Vietnam & Simply Siam are trading names of Oriental Panorama Ltd. Oriental House, 5 Glenfield Frith Drive, Glenfield, Leicester LE3 8PU, United Kingdom