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CREDIT CARD FAX FORM
AMARI EMERALD COVE RESORT
To guarantee your booking,
please printout this form,
fill it out
completely all the information and f I hereby authorized AMARI EMERALD COVE RESORT to charge the amount of US$ .
from
__ ___
to:
Cardholder's Name : (as it appears on card) Guest's Name : (if different from above) Card Number : Master Card : write down the last 3 digits show on the back of the card : Expiry date : Card company : Country: SIGNATURE : _______________________________ Date : _____________________ *********************** IMPORTANT ********************** Please
kindly print this form, fill-in your details and fax it back to our
Bangkok Office at |