| CREDIT
CARD FAX FORM-AO NANG SUNSET |
| I hereby authorized to charge the AO NANG SUNSET HOTEL, KRABI amount of THAI BAHT
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 : AMEX : please inform Billing address 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
|