Booking Request Form Preferred Destination* Please note that you can split your entitlement into 3, 4 or 7 nights bookingI would like to go to(Required)One @Bukit Ceylon, Kuala Lumpur, MalaysiaPrana Resort Nandana, Koh Samui, ThailandDogan Hotel, Antalya, TurkeyDate(Required) MM slash DD slash YYYY * Submit your booking request at least 45 days in advance for a higher chance of securing room availabilityRooms and Guests* Number of Rooms(Required)1 Room2 Rooms3 Rooms4 RoomsRoom 1(Required)Please enter a number from 1 to 10.Room 1 Children(Required)Please enter a number from 0 to 10.Room 2(Required)Please enter a number from 1 to 10.Room 2 Children(Required)Please enter a number from 0 to 10.Room 3(Required)Please enter a number from 1 to 10.Room 3 Children(Required)Please enter a number from 0 to 10.Room 4(Required)Please enter a number from 1 to 10.Room 4 Children(Required)Please enter a number from 0 to 10. Basic Information* Full Name(Required) Email(Required) Member ID*(Required) QVI ID*(Required) Contact Number*(Required)I travel with*(Required)Breaks Confirmation* Are you the main guest?* Yes No Special Request Confirmation I understand that my booking request is subject to availability I understand that my booking confirmation will be subject to the payment of any booking and/or usage fees Learn more about QVI Breaks Terms & Conditions Reservation Guide