Application Form for CHIC World Reward Programme Enrollment


Please fill the application form below and click the submit button to apply for CHIC World Reward Programme. Our staff will proceed your application and contact you soon.

Your Information
 
Prefix:   *
   
First Name:   *
   
Last Name:   *
   
คำนำหน้าชื่อ:   *
   
ชื่อ:   *
   
นามสกุล:   *
   
Date of Birth:  
Ex. 14/02/1975
   
Hobbies:  
   
Favorite Places:  
   


Your Boss' s Information
 
Prefix:   *
   
First Name:   *
   
Last Name:   *
   
คำนำหน้าชื่อ:  
   
ชื่อ:  
   
นามสกุล:  
   
Date of Birth:  
Ex. 14/02/1975
   
Hobbies:  
   
Favorite Places:  
   


Contact Information
 
Company Name:   *
   
Address:   *
   
City:   *
   
Zip Code:   *
   
Phone:   *
   
Fax:  
   
Email:   *
   
Website:  
   
   



Are you a member of any similar programme at other hotels?
 
  Yes, I am a member of       No
     
Have you ever made any reservation for your guests or yourself at Centara Grand & Bangkok Convention Centre at CentralWorld?
     
Accommodation:   Yes    No
   
 
Banquet: Yes    No
 
   
If yes (continued from previous question), what was your reason for selecting us?
     
Accommodation:  
   
Banquet:  
     
What do you like the most at Centara Grand & Bangkok Convention Centre at CentralWorld?
     
   
     
What does Centara Grand & Bangkok Convention Centre at CentralWorld need to improve urgently?
     
   
     
What do you expect / need from Centara Grand & Bangkok Convention Centre at CentralWorld?
     
   
     
 
* = Required Information