Please complete this form and we will be pleased to get back to you with a proposal. All sections are required.
Date of Birth
Number of People
Estimated Date of Arrival
I am interested in:
Type Of Accommodation
Standard RoomJunior SuiteVillaVilla Superior
Breakfast onlyHalf BoardFull Board
Type of care required
Nonesoft, up to 8 hours per daymedium, care up to 16 hours per dayFull time intensive care, permanent care
Length of stay
1 - 3 months1 yearUnlimited
Please list any allergies
Please list any handicaps
Have you visited Thailand before? If so how often and when?
What is your main motivation and reason to stay in Thailand?
How would you describe your state of health?
What are your interests and hobbies?
Do you have any questions?
How did you find us??
Ban Sabai Village
Address: 219 Moo 9, San Pee Sua, Chiang Mai 50300
Email: [email protected] / [email protected]
Phone: +66 53 854 778
Mobile: 082-762 8310 | 093 694 23 59 | 096 659 35 92 |
Fax: +66 53 854 775
For more information visit our Frequently Asked Questions page.